1974, 02-13 Permit App: K3654 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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.
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.
APPLICANT FILL IN BELOW THIS LINE
r ,en u
Name of
Architect
Contracto
Legal De$cription of Pr(
Owner _ LV a ,. cl)_V Address Sn _, L' C S �1� } Phone��l�
Phone Engineer Phone
rt Address Phone
deed, tax receipt, etc.)
DESCRIPTION OF WORK: New � Addition Remodel Moving Bldg. Zone / Fire Zone y_-7� —
Size of of ff3 X ✓Y6 Sewage System SP_ w e/z Stories `
Const. '- Dimensions �4q X JAI + 1�A �� t x ��rt Total Sq. Ft. Valuation
(Frame, ncrete, brick, etc.)
Baths � Basement 60Z Foundation Const. '/Y f Chimney ,__-� zs�4- Fireplace 7—
(Full, part, none) (Kind) (NYM/ber)
Heat. System Type of Roofing ` Ext. Finish - (� Int. Wall Finish T Zv1
Use of Bldg. Qs : eMC E No. of Units / Bedrooms -
Garage or Carport Attached
vate Detatched
PLOT PLAN
)proposed
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.
N
NORTH
State License No.
S? -?.:3 v( iga3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit,
M Heating Permit , y
NSewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up _
Plans Mailed
SOUTH
I hereby y n orma 'on�ittscorrect and there are no other struct res located on this property except
as shown. � ,� 7
Owner or Agent 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 be � �� �2 3 C) V e zone is, G
sewage Permit Number Issued Building Permit Receipt 4/ L5 Iss d
Remarks (/
Form 523 Bldg. Code