1976, 09-28 Permit App: L5615 Garage1
CAnty of Spokane, WasA gton G
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 /(jr
APPLICATION FOR LAND USE OR STRUCTURE PERMIT jj
GENERAL REQUIREMENTS PERMIT FEE .__.L_.�_____________
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.
NATER. 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.
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.
r, S APPLICANT FILL IN BELOW THIS LINE ,1 �1�21�
Name of Owneri�1,41
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Addreg / 5LCK, ,z 8- -�
Phone %Z, Kgl
Architect
Address
Phone
Engineer
Address
Phone
Contractor
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Address
Phone
Legal D scrigpon of Property
(Give co`� etg
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elcfiption from d d, tax rgceipt, etc.)
V to L�:I 4IM,
DESCRIPTION OF WO K: New Addition Remodel Moving B g. one Fire fW,e
Size of Lot - y /\' I Sewage System CF�nsConc., r. t
L 1
)
Stories Dimensions Total Sq. Ft. Valuation
Rooms Baths Basement Foundation Const. C/Z= • Chimney fireplace -
Fu I, part, none ( find) umber
Heat. System 141Type of Roofing Ext. Finish f i Int. Wall Finish
Use of Bldg. qf f i-21 3is 1 LG No. of Units I- Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
I hereby certify/information s
as shown.
Owner,
A LAND USE OR STRI(l
THIS IS NOT A PERMIT.
Your street address will be
Sewage Pe it Numbers--
Remar:1 tea` il,t_c
Form 523 Bldg. Code
NMERCIAL
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State License No.
r
nd. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on tVis propyrty except
Agent Date
IJRE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
The zone
Permit - Recgipt%k
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