1972, 08-14 Permit App: J4067 Garage•
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99401
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 ay
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with th
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Nater 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 IFI BELOW THIS LINE /1,-f -, /1 AA
Name of Owners,JX I LCC.C.. Address
Architect P ne Engineer
Contractor Address
Legal Descripti of Property (Give,Aompletg descrilAlop from
//& %0 % o -AV, Phone
Phone
deedq tr4 recegipt, etc.
DESCRIPTION OF WORKjNew i/ Addition Remodel Moving Bldg. Zone Fire Zone
Size of t E X //� 7— Sewage System/ Stories �_—��
Const. Dimensions 'Y Total Sq. Ft. 6 21:2 Valuation .
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) �(N ber)
Heat. System Type of Y0Jing Ext. FinishGlw ✓� Int. Wall FinishI'�
Use of Bldg. !fi x �,-e W A—,
Garage
Garage or Carport Attached
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.
No. of Units Bedrooms
Private Detatched
I hereby certi
as shown.-
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State License No.
0
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
�Pubmitte is correct and there are no other structures located on this property except
/Wer or Agent Date
A LAND USE 01 STRUCTURE PERMIT MUST BE ON T HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
q//
/
a zone is rr
Sewage Permit Number
IssuedBuilding
rmit O Receipts as Issued
Remarks
Form S23 Rla� t'_d.