1975, 06-12 Permit App: L0470 Addition Garage4 o
3Z County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT -------- &
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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.
NATER. 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 LINE
Name of Owner Address Phone'Q�
Architect Address Phone
Engineer Address _ Phone
Contractor Address 77�- %ln 2KO&4w e Q Phone ��-24 r?�
Legal Description of Prope y (GIZ complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition -Rornodel Moving Bldg. Zone _-,L Fire Zo e
Size of Lot - - Sewage System %ter �� onst ice-. �r-
d PFr., c., Br., etc.)
StoriesDimensions _moi (� kf ::2r;' Total Sq. Ft. 3�� Valuation r7
Rooms Baths B�� Chimney Fireplace
Full, part, nonce—asement Foundation Const. �, �i�'-- T(Kind) (Number
Heat. System�2 =,:: � ype of Roofing Ext. Fi ish Int. Wall Finish
Use of Bldg. C�_�� ��o �� �4 �' �Nq. of Units Bedrooms _\
r
PLOT PLAN
Dr sketch with dimensions showing: (1) property lines; (2) street or road locat ns; (3) location of existing and
o "ed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH ate License No.
(J
Ind. Ins. Acct. No.
��.
REQUIRED
Plumbing Permit
m Heating Permit
N N Sewage Perm'
�f Plans Received
Plans Checked
Plans Returned
Plans Picked Up
_-7 Plans Mailed
I
as s
A LAND USE OR STRUT
THIS IS NOT A PERMIT.
SOUTH
tion bmit 's correct and there are no other structures located on his pr,,6p�xcept
Agent
Date
JRE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Your street address will bel'
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Buiildina Permit
The zone is
Receipt l Issued