1977, 11-28 Permit App: M4252 Garage•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos, 45-133 and 47235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' -rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress. _
COUNTY. ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LIN
Name of Owner r✓. _ J.. _ -.. -i Address
Architect 1 I Address
Engineer Address
Contractor C /.lam Address
Legal Description ofoperty (Give complet description from deed, tax r P•t, etc.) P 1 Numbe
DESCRIPTION OF WONaw _ Addition
Size of Lot - X I 'a-1 '
Stories Dimensions ?-'f 36
Rooms ) BathsBasement
Fu I, part, none)
Heat. System Typof R
Use of Bldg.
Remodel
Moving
Sewage System
Total Sq
Foundation Const
oofing Ext Finish '"�
C? �^v✓`O PLAN
ANNzJ/�p
Bldg. Zone _/ Fire one .J
O� Zst
C I c., .Tetc 1
Ft %TV Valuation 1 O d
Chimney (Kind) Fireplace
(Number
Number
Int Wall Finish
No of Units—Bedrooms
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL —COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on th property except
/ as shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO !!OT WRITE B LOW HI LINE
Your street address will be
Sewage Permit Number Issued
Remarksc " -
i 0 - Alga:
Building Permit 1I
The zone 1
Receipt
Form 523 Bldg. Code