1972, 07-07 Permit App: J3969 GarageCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, Qo
GENERAL REQUIREMENTS PERMIT FEE i�—
PERMIT REQUIRED. A land use or structure permit is required byCounty Resolution to erect a building or strudture 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.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
Q q.t.!)
APPLICANT FILL IN BELOW THIS LINE
Name of Owner4.2/2/I2Q .tE _ - 2.-yle.t•J4dress 7 ;LOS CC Phone Af
Architect Phone Engineer Phone
Contractor Address Phone
Legal Desc ption of Propert (G ve comp ete description from deed, tat receipt, etc.)
%� .L /
I, e
slip
DESCRIPTION OF WORK: New t Addition
Size of Lot /?lid y/ to b /
Constdtensions 310 /
(From onerete, brick, etc.)
Roo Baths Basement"" Foundation Const (71.6--,(_/„..5A72$1—) Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System - Type of Roofing Ext. Finish //, Int. Wall Finish —
Use of Bldg. �]i��Gt '/y
/ 1�/�O o �K •64/0.� Io. of Units Bedrooms
Garpge or Attached
d•// Q rt
Remodel
Moving Bldg. Zone Fire Zone ;3
S..t�ydties
tidit ��
Sewage System �r�� �/- slue
j / '% / Total Sq. Ft. f 0 212/
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
prdgosed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
private Detatched
NORTH
as
c2
I hereby certify in
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
iw Heating Permit
.Dn Sewage Permit
plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ormation submitted isco� t and there are no other structures located on this property except
7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Cr
Your street address will be
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
e zone 1
Permit Receipt f• S Issued