1971, 02-05 Permit App: I3423 Garage10111111111,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992Q1 3 -f
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1 3
GENERAL REQUIREMENTS PERMIT FEE..
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a buildin ructure 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 e nts running with the land
which are enforceable through civil action. County Officials can not bring action to enf venants or dedications.
APPLICANT FILL IN BELOW THIS LI
Name of Owner
Architect
Contractor
ddress
Phone Engineer Phone
Address Phone
Phone �(�6 '9 2 -
Legal D iption
of Property (G've
comple
description from deed, t:,° receipt, etc.)
00
A / s� ilk..1 _ i.
4110,2111 illWAII11411*4 ‘Iglir 4111W
DESCRIPTION OF WORK: New Addition Remodel
/ Q cam/
ensions
concrete, brick, etc.)
Moving Bldg. Zone / Fire Zone
Roo ` Baths Basement Foundation Const lG
(Full, part, none)
Type of Roofin Ext
Heat. System
Use of Bldg.
Garage or Carport Attached
Total S . F[
Sewage System S2les
Total S . Ft
Valuati /,5—dV
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Finish
/ 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
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. i/
ptro
•
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
NO ITE BELOW THIS LINE
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
tn tn Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Your street address will be
Sewage Permit Number
Remarks
e zone is —'
ceip