1975, 09-25 Permit App: L1607 Garage 1111 0
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 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 andjor 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 dedjcations.
APPLICANT FILL IN BELOW THIS LINE %_2 0 �j�-
� / iii/17 ,..-z-�u� .Phone 7, - 7 �j
Name of Owne e7,—/- Address
Architect - Address Phone
Engineer Address Phone
Contractor1.X
' Address Phone _
Legal D igtion of Property ( ve p to description from de d, t t ceipt, etc.'!e-` ' 9v ,
-
DESCRIPTION OF WORK: New Addition Remodel Moving Bld . Zone / Fire Zone "----
Size
`- -Size of Lot '. 1/ / ? '",".."9g" Sewage System
yFr., Coruxt, Br., etc.)
Stories__Dimensions ''2- �/ 7 " ,
Rooms / Baths Basemen-t---- Total Sq. Ft.,--- Valuation�' ' ,
y
Foundation Const. f �=X' ,- Chimney Fireplace
(Full, part(n ne (Kind) (Number
Heat. System Type of '•'ling - 2 Ext. Finish 7 `_-- Int. Wall Finish .
Use of Bldg. •� No. of Units_Bedrooms
' PLOT PL N
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 aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
;I;j -OR
` sss ��._ State License No.
'l' Ind. Ins. Acct. No.
7.-s
REQUIRED
k` Plumbing Permit ///
\ \\
Heating Permit
}" wJ Sewage Permit
r� i A
Plans Received
7) z"j ,--,; f ry i 1J 3 Plans Checked
_J Plans Returned
Plans Picked Up _
v,
"/ Plans Mailed
Gown} �� r T_— 7.
I hereby-certifyinfor'� ion submi ed is grect . s• here are no other structures located on this property except
as shown. 1,�`1'- - / 4I ..4) / - >..)
�/ Owner or A t 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
J j.
Your street address will be % "�� L - - ^- / --Q�
The zone ii+l"�
Sewage Permit Number Issued Building Permit /�6 7 Receipt`1/ �9 Issued
Remarks
Form 523 Bldg. Code