1972, 03-28 Permit App: J2356 Garage, Breezeway• i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99407
APPLICATION FOR LAND 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 any
kind or alter any building or structure already erected, or to change a land use. Construction mast conform .ith the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Rater 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 Rbglneer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45433 and 47.235.
SETBACK 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. Rhe re the s t ructure abuts a State Highway, clearance must be obtained pertaining to act -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 most 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 ramping 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 13:// LU:/sof" Address 97-Z i E 9 Mesa WA. b'/o98
Architect ,,�P`� —Y. ,�//Phone Engineer Phone
contractor t;/lo lCtUg NS,Ec, &NS4. Address At. 42/097/A1C r .0-fP .er{ Phone Wg„ Is-%o1Z
Legal Des ript ion oS�P op rty (GIv complete description from deed, tax receipt, etc.) .�[_✓ 6
� -(X _� �� 201 2- iaa9
DESCRIPTION OF WORK: New L Addition _ Remodel _ \loving Bldg. Zone Fire Zone
Size of Lot _ l O O � X 1 Hd Scwage System Stories /
Const Fgd!447Lz Dimensions 362-'�42q Total Sq. Ft.Valuation 'R BOCs e.y
(Frame, concrete, brick, etc.)
Rooms—Baths Basement _ Foundation Const. Lv Chimney Fireplace
(Full, part, none) /- a' ` (Kind) (Number)
Heat. System _.]SowC Type of Roofing Cz//doe 5Io*V [ Finish �IaC Slid A 9 Int Wall Finish A/D A)e
Use of Bldg. <�,AK400 No. of Units Bedrooms
Oaragc or QnpeG Attothed R N a w Private Deb�tc had
PLOT PLAN
Draw sketch with dimensions showing: (1) property linea; (2) street or read locations; (3) location of existing ane
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys.
tem and ester supply lines.
NORTH
State License No,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. 410 66l°m�
Owner or Agent Data
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
Tour street address will be C e some 1s
Sewage Permit Number Iseuetl Building Perml Receipt Qlti sued
Remarks
Form 523 Bldg. Code