1971, 10-28 Permit App: J1178 Garaget:
County of Spokane, WasMu gtoii
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 mnst 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 eater 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 r ,• : with the land
which are enforceable through civil action. County Officials can not -bring action to enfo-^`- cow n:• s�o dedd ations
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.61)6 -992 /
Name of Owner
Architect
Contractor
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arear
iro �we�iII/:I
APPLICANT FILL IN BELOW THIS
Legal Description`of Property (Give cple - description from deed, tax race etc.)
♦ _ - _ '_ _/ i i L _ / ;�
4aiitsar
ddress
Engineer
.� --/ GffAddress
Phone 7 --47�, fV
Phone
DESCRIPTION OF WORK: New
Size of L 70 Yi'3 , /J
- t
Co ea i Dimensions c -8 ..r - Total S Ft. ,$ n
(Fred ', concrete, . ick, etc.) q. 9
Rot
/ddition
Remodel Moving Bldg. Zone
Sewage System
Baths
Basement
(Full, part, none)
Heat. System Alt Type of Roofing
t_
Use Of Bldg.Wit_ i
Carus: or Carpor/Attached
Foundation Const 67hr2.1-±
Fire Zones -3
Sto
Valuatl n
c2 0,
Chimney Fireplace ✓
(Kind) (Number)
Int, Wall Finish
No. of Units Bedrooms
Pnvnte 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.
In
H
NORTH
Stale Li se No.
Ind. Ins. Acct. No.
REQUIRED -
Plumbing Permit
.n Heating Permit
• Sewage Permit
N
Plans Received
Plans Checked
Plans Returred
1f Plans Picked Up
Plans Mailed
SOUTH
I hereby certify in or tion submitted is correct and there are no other structures located on this property except
21,, .t4 a/
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
as shown.
Your street address w111 be
Sewage Permit Number Issued
Remarks
Building Permit
e zone
Receipt
Form 523 Bldg. Code
/