1978, 04-03 Pemrit App: M5553 Garage, BreezewayCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99Z01
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
l
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 47.235.
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 UNE
Name of Owner
Architect
Engineer
Contractor
Address
Address Phone
Address Phone
2 i�
112 Phone
Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
2/.'71��,,c/t1 % /1147 _c-e--Xci d;S,!ii/
'22f -ST[ i
Phone
/3 5 5 — /C'r/ �?
DESCRIPTION OF WORK: New )( Addition Remodel
Size of Lot 99' X Js - .r?
StoriesDimens'iiol!ns
Rooms / Baths/V/ Basement Foundation Foundation Const
�/ Full, part, none
Heat. System /V a,Y . Type of Roofing COW()3
Use of Bldg. a��t Q ''
Moving Bldg. Zone / Fire Zoned
Sewage System 1 Const.
Fr., Conc., Br., etc.),,
0
Total Sq. Ft.
OA( Cl"P -e 7—
Chimney
(Kind)
Ext. Finising-JOAr,7f 4fint. Wall Finish
No. of Units LBedrooms
aluatiOn
Fireplace
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT P
N
property lines; (2) street or road locations; (3) location of existing and
lines add streets; (5) dimensions of buildings; (6) location of sewage sys-
(2 f0 P
SOUTH
I hereby certi inoroggt iqd iaMmitted
as shown. V /
is correct and there are no
RESIDENTIAL
COMMERCIAL
R QUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
'1/3�7 ii
other structures located on ,his property except
Owner or Agent
7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
7/ 3
Your street address will be
Sewage Permit Number Issued
Remarks
uilding Permi
The zone is a_
Receipt/03/ /Issued
Form 523 Bldg. Code