1972, 08-29 Permit App: J4208 Garage, BreezewayCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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 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 j�7/ �
Name of Owne67L
i �J _ �_- ���/� ddress /� /�1- -� . Phone�//` 2 0 S
Architect i � one Engineer Phone
Contractor .d Address Phone
Lega Descriptio*of Pro erty (Give complete description om deed, tax receipt, etc.) 7 �i S -D �2-
DESCRIPTION Cff WORK: New Addition Remodel Moving
/ 1 3 2_.-. Sewage Syste
Total Sq. Ft
Size of Lot
Co Dimensions
concrete, brick, etc.)
.. s / Baths Basement
(Full, part,
Heat. System
Use of Bldg.
T
-4'Ax ---
none)
• ofing fir Ext
Foundation Const
Bldg. Zone / Fire Zone �—
Stories
Valuati9' 3 d 0 G ,
Chimney
Finish
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
ut
NORTH
SOUTH
I hereby certify information submitted
as shown
Fir
(Kind)
Int. Wall Finish
No. of Units Bed
lace
(Number)
oms
vate Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m
a
tl1
1
State Lice e No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
0
ner Of Agent / 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
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Permit
zone is a
Receipq.-)2 Issued
•
Form 523 Bldg. Code