1972, 06-19 Permit App: J3472 GarageCounty ®f Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE /4
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or strudture 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 mutter 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner x%/i .iii.i ter« ddress Phone
Architect y� � p Phone Engineer Phone
Contractor Elks. of Ca— Address Phone
Legal DescriD/tin of Property (Give complete description from deed, tax receipt.; etc.)
7P
.5
/ '56 IS O 6
DESCRIPTION OF WORK: New Addition --, Remodel
Size of Lot %O c .X I . z f
Const. Dimensions D. t, t .? A
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System Ty a of Roofing
Use of Bldg. s��� d- ii -cc_ .
Garage or Carport Attached w
Foundation Const
Moving Bldg. Zone
Sewage System
Fire Zone
Stories
Total Sq Ft. 6 3.fr" Valuation WI //l/ 0
Chimney Fireplace
(Kind) , (Number)
Ext. Finish Int. Wall Finish
No. of Units Bedrooms
PLOT PLAN ,
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Prtvate Detutched
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of,exist ing and
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as shown.
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SOUTH
Sta_teLicense, No.
f92.0 -
1 L
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
to Heating Permit
a Sewage Permit
H
Plans Received pa -
Plans Checked
Plans Returned`
Plans Picked Up
Plans Mailed
to submitted is corre� and there are no other structures located on this property except
- o
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 18g a 8
Sewage Permit Number Issued
Remarks
Building Perm
zone i'({C
Receiptgn cIssued
3 it? 7/
Form 523 Bldg. Code