1972, 07-11 Permit App: J3709 Garage0 , 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LANE! 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 ay
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 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 anti/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 Acovenants or dedications.
APPLICANT FILL IN BELOW THIS LINE �J c,, _,,�i.r�� J99o1
Name of Owner VAddress !�t y i 3ZS) .JA
Architect A hone Engineer
Contractor Address
Legal Description of Property (Give complete description from deed, taxeceipt
-- N /6-// oI W, i.Sa ' J,DT 7 [3/-M -2,-5- - -�
Phone
Phone WA- l"),e /
DESCRIPTIO OF WORK: New _ Addition Remodel Moving Bld Zone Fire Zone
Size of L t Sewage System Stories _DC7
Const r /Vb(1_Dimensions Total Sq. Ft. Valuation
( Frame, concrete, brick, etc.) -�-
Rooms Baths Basement "— Foundation Const. �� - Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. Systemm-�--Typ of Roofing Ext. Finish T // / Int. Wall Finish
Use of Bldg. �C�!J� Ali .a-4-fj=
Garage or Carport Attached
49 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. N
No. of Units Bedrooms
Private Detatched
NORTH
l^K'1
�MM �
�k
Z�
n
SOUTH
State License o.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
iw Heating Permit
Sewage Permit
M
Plans Received t/
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebVcertify information submitted is cor ect and there are no other structures located on this property except
as shown: Y_ n / 19 � _ n
owner orlAgent v Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON T HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
jD�O NOT WRITE BELOW THIS LI"P.
Your street address will be/-/ 0 % RSJ e zone ism i x
sewage Permit Number Issued BulldingPermit Receipt Issued
Remarks
Form 523 Blda. Code