1971, 05-10 Permit App: I 4312 Garage7tPFR'?VE _. A N T LT,
Spof,ane ucunty Pld ;. �.vue Der.i.
County of Spokane. WashingtofDzte 3-Z 7
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WAST I' ILbGTON 99201 Q' •
APPLICATION FOR LAND USE OR STRUCTURE PERMI - O
GENERAL REQUIREMENTS PERMIT FE 1
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.
NATER. 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 LINE
i
Name of Owner ddress
Architect Phone Engineer
Phonez“L, 4/ 7 s /:y
Phone
Contractor Address Phone
Legs ription of Property (Give complete description from deed,
tax
recP,ipt etc.)
• /T
DESCRIPTION OF WORK: New k Addition Remodel Moving Bldg. Zone
Size of Lot / Z . -5 /t- G G/ 2
Sewage System Stori s
Const .t --,-rte Dimensions �-yX "3 0 Total Sq. Ft 7.2-./2 Valuatio916 t� 2.
/
(Frame, co rete, brick, etc.) /
Rooms / Baths Basement
Fire Zone
(Full, part, none)
Heat. System Type of RoofingA9,010001.>I Ext. Finis
Use of Bldg. 1Pr
Garage or Carport Attached
Foundation Const
Chimney Fireplace
(Kind) (Number)
nt. Wall Finish
No. of Units Bedrooms
Private Detatched
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 property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here certify nformation•cis coct and there are no other structures located on tpis property except
ks shown.
r or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIO COMMENCES.
THIS IS NOT A PERMIT.
7/
Your street address will be
DO NOT WRITE BELOW THIS LINE
AV
Sewage Permit Number Issued
Remarks
ilding Permit
e zone is --
Receipt L ' sued
Form 523 Bldg. Code