1971, 07-12 Permit App: J0020 Garage4110111 .4•41
011
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
35
APPLICATION FOR LAND USE OR STRUCTURE PERM! '�{, O
GENERAL REQUIREMENTS PERMIT FEE.._
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aay
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 on eater 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 01P 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 Owner att /(n/ eakft'tL W Address gat Phone/ 4- 5567
Architect Phone Engineer Phone
Contractor AddressPh
Legal peription o Property (Give mplete description from deed, t x re eipt, etc.) w / ?
di
DESCRIPTION OF WORK: New V Addition
i
Size of L t 2 �—
Const. / _ r(Dimension G -4- a
(Fra e, conicrete, brick, etc.)
Rooms i Baths Basement
(Full, part, none)
T pe of Roofing
/ /
Remo
Heat System
Use of Bldg.
Garage or Carpoit Attached
del
Moving Bldg. Zone
Sewage System Sto ' s
Total Sq. Ft. "74120 Valuatio _Z 0 O,
Foundation Const
Fire Zone r.
Ext. Finish
7-7-1/
Chimney
(Kind)
Int. Wall Finish
No. of Units
Private Detatched
Fireplace
(Number)
Bedrooms
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.
171
NORTH
State Lice No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certijyi informationsubmittedis correct and there are no other structures located on this property except
/ V 19)4.,( AAA)
as shown.)(
Ak
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
7/
Your street address will be d _ C
Sewage Permit Number Issued Building Permit
Remarks
e zone 1s
goyd Receipt
Form 523 Bldg. Code
4