1975, 12-10 Permit App: L2268 GarageCAnty of Spokane, Waslegton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT &10
GENERAL REQUIREMENTS PERMIT FEE -------- X --- ---
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
whic'n 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
Architect
Engineer
ription of p rty (Give comm
Address
Address
Address
Address
on �9m deed,
etc.)
u�
Phone
Phone —
Phone
Phone
DESCRIPTION �OyF//WORK: New Addition Remodel Moving Bldg. Zone �_ Fire ne
Size of Lot ,?41T��Y�i` Sewage System Const.
J �/ (Fr., nc., Br., etc.)
Stories Dimensions / l� Tota Sq. Ft. J Val tion
Rooms I/-- BathsBasement Foundation Const. Chimney Fireplace
Fu I, part, none►— (Kind) (Number
Heat. System Type of Roofing _ Ext. Finish Int. Wall Finish
Use of Bldg No. of Units —Bedrooms
Cf� -��PLO PT LAN
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 stre imensions of buildings; (6) location of sewage sys-
tem and water supply lines. _29—L ------
NORTH RESIDENTIAL C MMERCIAL State License No.
Ind. Ins. Acct. No.
SOUTH
REQUIRED
Plumbing Permit
w" Heating Permit
4A Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I r by certify For on bmitted is correct and there are no other structures located on this property except
sol ,+ I CC/i(9/-71'
--Mnbr or Agent Date
A LAND USE OR STRUCTURE PER114T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Swage Permit Number
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
V v � The zone is
Issued Building Permit Receipt I sued
FlorTrusses
PROJECT
DATE
6 Y
SH E M N 0.
by
ROOF TRUSSES. INC.
924-1161