1971, 01-15 Permit App: I3303 GarageG
r
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, Q,/G%clO
GENERAL REQUIREMENTS PERMIT FEE ly / ti
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 mast 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 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.
'toon&Y 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
Name of Owner4i2/ F. Me72,1) Address /002/4, E We/%S/ey Phone edafi-6,947
Architect Sa/r Phone
Contractor
Leval Description of Property (Give complete description from deed, tax receipt, etc) 0 3 a --Y./ / Q
3 _ / v, / o r /--
,41." _....;
022e 'aata'
gineerV-/F
Address
Phone
Phone
DESCRIPTION Of' WORK: New Addition /--"Remodel
Size of Lot /bSof /30
Const, f J -o -r.. — Dimensions S- a- S4 2//
(Frame, concrete, brick, etc.) /
Rooms Baths Basement Foundation Const en-._t,'mo=�y�'/`l��Chhhiimney Fireplace
(Full, part, none) ____ / nd) (Number)
Heat. System /� .{� Type of Roofing Q+o-,-��p Ext. Finish Int, Wall Finish
Use of Bldg U/ r.c....w�l� reel.? No. of Units Bedrooms
Garage or Carport Attached Private Detatched
a-Lew/at
/z)a of i/ /V /30
Moving Bldg. Zone Fire Zone —9
Sewage System Stories
Total Sq Ft CC Valuatlo
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.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify ii formation submitted is correct and there are no other structures located on this property except
as shown.
<a�C Cso.3
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTN07�IT
DO NOT WRITE BELOW THIS LINE
Your street address will be
1 Sewage Permit Number Issued
1
Remarks
Building Permit
e zone is
Receipt p 2QL.In ssued
Form 523 Bldg. Code