1972, 04-17 Permit App: J2633 GarageCounty of Spokant, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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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 WV
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 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at i
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 TPI LINE
Name of Owner 1 S ddress / .�- Phone `S),717
/
Architect Phone Engineer Phone
Contractor� Address Phone
Le'g/A_1 D//PP//��////ppription of /P� operty (Give cowmp�l to es(y/yrii ion from d ed, receipt, etc.)
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'7TA�i'_.(D—o� >T-/`/1Ott_ e� "/ �ZL.A� I _ ✓_
DESCRIPTION OF WORK: New Addition Remodel Moving Bl . Zo a �— Fire Zone 3
Size of Le Z#/ c( �� Sewage Syste Stories
Const. Dimensions 6 z xy Total Sq. F . Valuation OV
(Frame, co crete, brick, etc.) eLOS'O )
Rooms Baths Basemen Foundation Const. �� ChimneYFireplace Z -
(F 1, part, none) (Kind) Al (N ber)
Heat. Syste Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Unit -Bedrooms
Garage or Carport Attache P 'vate Detatched.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) st et or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water su1 lines
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PP y
NORTH
, (7 5��f _/?'�
(3) location of existing and
(6) location of sewage sys-
State License No. /
Ind. Ins. Acct. No.
REQUIRED
Plumbing
Plumbing Permit
m Heating Permi
Sewage Perm!
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby, cert" i ion s is correct and there are no other structure loc ed on this property except
as shown. 2 --
Owner or Agent Dat
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 be JTvL 1. E, 5�- a zone i
sewage Permit Number Issued Building Permi 7, Receipt G Issued
Remarks 1-51-16
Form A23 Ridn Cork
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