1972, 03-13 Permit App: J2135 GarageCounty of Spokane@ kraSkhngton
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201 6:/APPLICATION FOR LAND USE OR STRUCTURE PERMI
/6
GENERAL REQUIREMENTS PERMIT FEE10
FERMI? REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of MY
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is su"_alect 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 Nss, 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -hack frcon the front property line, of at
4 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 he 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
Name of Owner V-), Al - of �Ue'—S' Address S' Z5/5 e Ce �g U�Phone 9.2�/ '7
Architect 1 A f vi r Phone Engineer Phone
Contractor Address
SAr��
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Phone
t,) -7 -s -i 3-iy- / J3C-Jr __3) Ki ��,- ,, 7-U(.-,.�s°:
- z(5y3 ��iza Q
DESCRIPTION OF WORK: New )( Addition Remodel Moving Bldg. Zone / Fire Zone �/®
Size of Lot b -0 X I E5 d i ' X lU 0Sewage System Stories /
Const Friira e Dimensions IOC+ F = " 4/X 3 0 Total Sq. Ft. '7 2'C Valuation s G) 0
(Frame, concrete, brick, etc.)
Rooms= Baths — Basement nt o Foundation Const CZJ N C Chimney Fireplace
(Full, part, none)
Heat. System Type of Roofing 5 r)
/lye- re Ext Finish Pl�lK��v� Int. Wall Finish `/i r (Kind) (Numbe(Number)
Use of Bldg. --e•-/} R(y � L No. of Units Bedrooms 0Garage or Carport Attached
Private Detatched
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.
NORTH
477
stateucenseNo.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
pea Heating Permit
Ya
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. -L•
ems,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
.-le--,2---1DO NOT WRITES BELOW THIS min
Your street address will be 2 (57 Sewage Permit Number Issued
Remarks
The zone is
B.eceint Tj/� Issued
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