1972, 03-23 Permit App: J2289 GarageCounty of Spokane, Waoshingfon.
BUDDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
AP L STRUCTURE PERMIT
APPLICATION FOR R AND► USE OR
GENERAL REQUIREMENTS PERMIT FEE....f_._C�_..
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.
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 (,,,'9',, 0 q ( ,
I I -Name of Owner _ 2 _ �a ZfA �9� _Address �7�- f i _ Phone iE �� ' 17- C1
Architect _ Pho a Engineer Phone
Cont ractor�,,V_fi Address Phone
Legal Description of Property (Give omelet deacri tin from dee t.x re ipt, etc.)
1 -
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg Zone,,—I— Fire Zone,�2
Size of L� X / f Sewage System 1.�- Stories
Const. Dimensions �,_ax Total Sq. Ft.' --T Valuation �)f
(Frame, concrete, brick, etc.)
Rooms Baths - Basement "" Foundation Const. C- �" ► L ��►� �J�F-� Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type�Roofing Ext. Finis Int. Wall Finish
'J
Use of Bldg. /gyp '� ® as d ? . No of Units Bedrooms
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.
State License No.
Ind. Ins. Acct. No.
Private Detatched
as
REQUIRED
Plumbing Permit
in Heating Heating Permit
AA
M Sewage Permit
Plans Received
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed
SOUTH
I herb certify informCathn submitted is correct and there are no other structures located on this property except
w
_ T)
Owner or Age Date
A LAND USE O STRUCTUR ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ,� �!, //. .�
sewage e zone i
g Permit Number. Issued uilding Pe m Receipt -?rJ 3? Issued
Remarks
Form 471 RI,J.. �-