1971, 11-04 Permit App: J1203 Garage 1 Spokan C.;-.)!pity :5 dg. e;c�'ae
DatE�Z- - •_-ux, --- County of Spokane Washingtonn
- v
'_.` _._ �tttlttlEG�CODE DEPARTMENT, COURTHOUSE, S'OItA4, ASI�II+B�sTON 99201
APPLICATION FOR LAND USE�. QR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
kindlTer. A land
use or structure
prmit srequired
rua } lldnto ert a nstructure
hekorr alter any buildingorstrucurealreadyerected, tochngeaanuse. Constructionmust conform with AMYSpokane County Building Code and Zoning Ordinance, Construction is su!elect 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 he obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nm, 45_133 sr,d 47.235.
SET-RACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-hack 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 he approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing beilding. 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.
Rs
ld check
whSichlareVenforcce ble throughrciviluaction. Countysions of Officialsocanants or not bringdactionns toand enforcements covenantsing or dedithe land
cations.
/ /
APPLICANT FILL IN BELOW THIS LINE 1,4
Name of Owner , N t4, ,t•t' Addre3 /4711 , 0111MOI, Phone WA Ef— '516'4
Architect Phone Engineer
Contractor _ Phone
Address---- _ Phone
Legal Description of Prop rty (Give m /
plete d�•cription from 'cod, „ex eceipt, et.c.) �,0.2.54/, 17Qt,
DESCRIPTION OF WORK:New Addition S
�.�x/ � Remodel Moving Bldg.Zone / Fire Zone
Size of
Const/ �G X ��/ Sewage System �� Stories /
(Frame,concrete,brick,etc.)rasions Total Sq.Ft. S /� Valuation Q O
Rooms Baths Basement Foundation Const.
Chimney — Fireplace
(Full, part, none) r (Kind) (Number)
Heat. System Type of Roofing Ext. Finis Int, Wall Finish
Use of Bldg. 1V. ..i.i .I. ',E...e,,.ice
r
No. of Units Bedrooms
Garage or Carport Attached '-.71-€,--1,(..k,
Private DetatchedA
PLOT PLAN CCC
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 State License No.
/ Ind. Ins. Acct. No.
— REQUIRED
it*4I
-- Plumbing Permit •
�l�J i
m * C\ �_..__ ) 1 en Heating Permit
in
�q
1 ,,r Sewage Permit
I 6 Plans Received
N\L
�� j Plans Checked 1.
4� Plans Returned 1"---
4
—
I-011'r-- 9 'fPlans Picked Up
Plans Mailed
1
S,/,(4----- SOUTH I
as shI hereby •r 1y insrmation , bmitted is correct and there are no other structures located on this property except
-
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST RE ON THE PREMISES SEFO Date
THIS IS NOT A PERMIT.THIS COMMENCES.
DO NOT WRITE BELOW THIS LItl°
9,,,e4dIti,46/a,
Your street address will be / / / A / / 11Sewage Permit Number `� "�"` — T., zone is
Issued Buildieg Percit‘ e0 Pereipt 37 Issued I f—'4--7I
Remarks