1972, 02-25 Permit App: J1979 Garage . County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
'� APPLICATION FOR LAND USE OR STRUCTURE PERMIT hi
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.
'*AIR. 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.
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.
Rs
nd
ents
whichlareVenforcce enforceable throughrs civiluld action kCountysOfficialf scanants or not bringdactionntoaenforaeecovenanntsing with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE99 '0
.e)/ �, .. . ... Phone K� g.2 /
Name of Owner �-ea :� ,.J " /_ 4/.'- -. .%�-- . .[- .dress _
Architect _ Phone_ Engineer Phone
Contractor Address � Phone 'L
Legal Description of Property (Give complete description from deed, tax receipt, etc.)✓eleffh .27�y 7 ` /470-/
sj:Le_ a_A;b.a,,,(_ oCe.,,epak ____ ___
DESCRIPTION OF WORK:NQ Addition Remodel Moving Bldg.Zone I Fire Zone
•
Size of L /35-X /34 _./„../.A.La_..4"/ Sewage System Stories
Const. Dimensions t Total Sq. Ft. 2 6 Valuation ADO
(Framecre� te,brick,etc.) �j
Rooms Baths — Basement — Foundation Const. l _Chimney Fireplace
(Full, part, none) • (Kind) (Number)
Heat. System Type , Roofing, Ext. Finish T/// Int.Wall Finish
Use of Bldg. ,r .... . /_ , LI_[ �r4.. i No. of Units Bedrooms
Garage or Carport Attached Private Detatched
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.
NORTH
1304:_ Q K
re, Ind. Ins. Acct. No.
1 ,-.“ ,
REQUIRED
I
Plumbing Permit
ea Heating Permit
m A
cnSewage Permit
oLn
1 .4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I h• e. ce 'ify In ormition,pubmitted is correct a d there are no/other structures located on this property except j
a show, / , / 1 �/ C j 7 j
Owner or gent 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
Your street address will bej3.)-/ e , "di- ,
r .e zone is
Building Permit Receipt Issued
Sewage Permit Number Issued I ` f -
Remarks
Form 523 Bldg. Coda
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JOSEPH L. DICKINSON c
PROFESSIONAL LAND SURVEYOP