1972, 04-03 Permit App: J2432 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /6
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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 onvater 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 setback from the front property line, of at
least 25' iserequired, 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.
/��,,APPLLIICANT FILL IN BELOW THIS LINE „�„„ - C20(e
Name of Owner 1I/�'ds �IllJl-%W/. .! ' ddress 0� �.�41 Pbone7o�4�°�
Architect Phone Fltgineer Phone
Address ,�l1 Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc. 4:72 -4 -en. P 754.t' 'a 72S
Contract or."1,4/44L(.
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone 3
Size of hot
Const Lq t4f 4, Dimensions ‘2iX Sei
(Frame, concrete, brick, etc.)
Rooms — Baths Basement — Foundation Const Chimney — Fireplace
(Full, part, none) (Kind) (Number)
Heat. SystemT of Roofing Ext Finish %/(( Int Wall Finish
Y /
Use of Bldg. i}'il-!i[---- J/.® ,-F44-P //t -e
Garage or Carport Attached Private Deli -itched
Sewage System Stories� GCS a
Total Sq. Ft. 'I �-C Valuation
No. of Units _ Bedrooms
'lee
71
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to opert lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines,„
G State License No.
I he�yj;�.
as slyown
SOUTH
ertify informstted is correct and there are
Owner or Agent i Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-..vi
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received ✓
Plans Checked ✓
Plans Returned L/
Plans Picked Up
Plans Mailed
no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
- Your street address w111 be 4 03- ,YaskrwQt
Sewage Permit Number Issued
Remarks
Building Permit
The zone 1 U^^'
Re
3 ceipt _!-t % j_Issued
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Form 523 Bldg. Code