1971, 08-30 Permit App: J0519 Garage �_��- �� County of Spokane, . g ton
l,��` LDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
"'11
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 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 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 4?.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.
APPLICANT FILL IN BELOW THIS LINE
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I
Name of Owner �. ,t . i. .�L.� Address //. ii'' Phone
Architect •'one Engineer Phone
Contractor . ' Address _ Phone
Legal Description of Pr rty (Give complete description from deed, tax receipt, etc.)
ki—,2---..._ Gc �--�--11---, / u--V'..-, -- —4- —i ____,.(76r____2c am
DESCRIPTION OF WORK:New /fes_Addition Remodel Moving Bl--dg,Zone¢/ Fire Zone
Size of L D X/n; Sewage System. SX``..P s Stone / d
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Const. � dc/� Dimensions .2.2,X&.-.44 Total Sq. Ft. Valuation -Zll II LI
(Frame,concrete,brick,etc.)
1
Rooms --- Baths —, Basement Foundation Const. tRILt/ _ Chimney "` Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Typ• o Roofing e.,4--74yl _ Ext. nish 771/ _ Int. Wall Finish .____-----
or
Use of Bldg. i '.,A../, s ,' Alm,tom/- 4 " , I' 4 No. of Units --- Bedrooms
Garage or Carport Attached----w( Q Priv;ite l)etatched s'',—
r 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.
NORTH / State License No.
e,
N., Ind. Ins. Acct. No.
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i ,Ex/5-7/Aik RfS I,Ut-J)C.& ! / REQUIRED
< %d ' /a
Plumbing Permit
an Heating Permitin
« te _ A
i " Sewage Permit
pRoP'$O
'` Plans Received
6' •
R? Plans Checked �c
‘ ! ; Plans Returned C�
•
Plans Picked Up
r)i
Plans Mailed
/1 ,-H AV OUTH -
I hereb :rtify information submit ed is correct and here are no other structures located on this property except
as shown.
--,Y�a.6. /i —_" y J 0- 7/
Owner or Agent Date
A LAN• USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I• NOT A PERMIT.
// DO NOT WRITE BELOW THIS LINE
Your street address will be L. .Ca 6 i'� �/ r! rhe zone is/ ^C '� .' •
Sewage Permit Number �'t ``
Issued Building Permit ,- � fi1 Receipt Issued
Remarks
Form 523 Bldg. Code