1972, 03-14 Permit App: J2156 Garage10
County of Spokane, Washington
BUILDING CODES DEPARTMENT,
COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE
kREQUIRED.
structure
is by CountyResolution erect
building structure
the
kind
or alter any building orstruc urealreadyerected, change duse.Cotructionm�st conformvitb
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
e
the surface, shouldersrbe
County Roads, permissionand State ealth must bepobtained fromrtheork on Countyater Eingineer'stOfficeisturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
k
least 5 FROM required,
LINES.' side zones
side yadrdrfromtacflankingnces, a street,sandbac25' rearthe
yardfront
arepre4 iredline, of at
least 25' q .
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL 111 BELOW THIS LINE
with the land
Name of Owner
Architect hone Engineer
Contractor 5/7 & E' Address
Legal Des`cF"ipti n of Property (Givhcoomplete descriptio ryfrom d ed, tax regia ,etc. )
(44
DESCRIPTION OF WORK: New '"' Addition Remodel
Size of Lot a
Const. Dimensions ,20 2—"2_
(Fra concrete, brick, etc.)
Address /f
e1 t)
Rooms
Baths Basement Foundation Const
(Full, part, none)
Heat. System/y Type of Roofing
Use of Bldg.
Garage or C:
/i.. i OF
der't Attache
- '/ Phoned
��v - Phone
Phone
Moving Bldg. Zone Fire Zon
Sewage System Stories
Total Sq. Ft. _Valuation
Fireplace
(Number)
Ext. Finish
Chimney (Kind)
Int. Wall Finish
No. of Units
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2)
proposed buildings; (4) distance to property lines and streets; (
tem and water supply lines.
m
NORTH
3
Bedrooms
street or road locations; (3) location of existing and
5) dimensions of buildings; (6) location of sewage sys-
State License No.
SOUTH
I hereb c' tify information submitted
as shown.
//
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE
THIS IS NOT A PERMIT.
Ina. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit _
Sewage Permit -
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located is ropertYpt
Your street address will be
Sewage Permit Number
Remarks
Date
,/N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
/)
Issued
Buildin: ermi
e zone
Receipt
a
Issued