1974, 05-10 Permit App: K4547 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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 47235.
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
�a - e/ .lLJ/ r- - 'hone(
Name of Owner i�� i� .' .� �.o /. Address -
Architect Address Phone
Engineer Address �/ Address Phone
Contractor 2n �t'�!�!'f1-1-- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc )
0 --no
l- i.nr44' ,2M•5&`9 -'I 63 -
DESCRIPTION OF WORK: New Addition !� Remodel Moving Bldg. Zone
Size of Lot egO - X 7L3e7 / Sewage System
(Fr., •.,nc., r., etc.) ,.t o
Stories Dimensions �iW
(--76 ray'
Total Sq Ft — V= atio
Rooms _,[ Baths ' Basement Foundation Const��cs=�
(Fin I, part, none)
Heat. Systegr•Yzfr��,4 type of Roofing 01.0.49-n_Ext. Finish ,124
Use of Bldg.
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road. locat ons
posed buildings; (4) distance to property lines and streets; (5) dimensions of builds
t and water supply lines.
NORTH ✓'
Chimney , -Fireplaces
(Kind) (Number
nt Wall Finish-�-�-n
No of Units _,Sdrooms�-
I hereby X}+pd
a• hown. ,
Is
Bur -vie -EA)
House 4- ketal�`1
Lr!JE
E ?CIS T/NG
Weusc
SOUTH
tify infor n submitt
Owner or Agent
S 20' 3f
PLPNWJC,tl
I
C40p(>t I
"2-0- /,
SD
3) location of existing and
(6) location of sewage sys-
State L' a se No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on
Date
is pr.perty except
L ND USE OR STRUCTURE PERM T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT W
TE BELOW THIS LINE
Form 523 Bldg. Code
Building Permit
The zone is
Receipt tot! Issued