1972, 03-01 Permit App: J2024 Garage• 1110
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, 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 ab]
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. Rater supply must be approved by the County and State Health Departments. Where work onwater 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 1s 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 III BELOW THIS LINE
Name of Own
Architect
Contractor
ddressw22 — 2
Phone Engineer
Address
Le 1 Description of Property (Give complete description from deed, tax receipt, etc.)
/ ,
41
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phone 72Y 32-U!
Phone
Phone
- / 0
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 70 '3c- 1/%'
Const Ita,.-may Dimensions K 3 6
(Frame, concrete, brick, etc.)
Moving Bldg. Zone Fire Zone
Sewage System Stories
Total Sq. Ft. q a O ValuationQj017
Rooms Baths Basement Foundation Const
(Full, part, none)
Heat. System_/ "--1471:-fl,
Type/of Roofipgg (/ 'd(o oA Ext. Finis
Use of Bldg. i�W-r-r/% OXO4� M ,
Garage or Carport Attached
5
CaBrf,-ei—nPt
Chimney
Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units _ Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines. til--
d>♦�N
I hereby
as shown
r
Owner or Agent Date
A LAN • USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
y informs
on submi
correct a
(3) location locationtion ofexisting
sys-
(6)
State License No.
Ind. Ins. Acct. No. .
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received -
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Perini
e zone is
Receipt B Issued
Form 523 Bldn. Code