1971, 09-24 Permit App: J0820 GarageCounty 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 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. I/
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 easene s running with the land
which are enforceable through civil action. County Officials can not bring action to enforce ovenants or dedications.
APPLICANT FILL IN KEL• THIS LII
Name of Owner ./.' i �_ �/ ���=-/� — _ ddress
Architect Phone Engineer
Contractor Address
99,204/>
��40 ice. -
Legal Description of Property Give c;,iplete description from
DESCRIPTION OF WORK: New Addition -j
Size of .t 9Q%/� 20/.21�ewage System Ss ies
C.. .� i ! Dimensions a ,5741%,,d) COlTotal Sq. Ft. 6a y{ Va.luaMbri- c...9 COO
(Fr- e, concrete, brick, etc.) •/
Ro. s Baths Basement Foun. )tion Const20-ne-lvlig Chirrptey Fireplace
(Full, part, none .'/f (Kind) (Number)
• 1,
Heat. System /d Type of Roofin/vii . Ext Finislj�iJ ; NV Int. Wall Finish \
Use of Bldg. i / O/ I1 /y4 07, No. of Units Bedrooms
Cornge or Curpo Attac Private Detnlched
Remodel
Moving Bldg. Zone / Fire Zone
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road Iodations; (3) location of existing and
proposed buildings; (4) distance to property lines ar:d streets; (5) dimensions of bu}ldings; (6) location of sewage sys-
tem and water supply lines.
NORTH
her ert- ".formation submitted is correct d
as sh
s _
IMM -
Owner or Ag
t
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
here are no other structures Located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issue
Remarks
DO NOT W_TE BELOW, THIS L
uilding Permit
zone
Receipt
Form 323 Bldg. Code