1972, 03-03 Permit App: J2068 Garage • County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT e0
GENERAL REQUIREMENTS PERMIT FEE /7
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 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 car. not bring action to enforce covenantscor dedications.
APPLICANT FILL IN BELOW THIS LINE ,�j�.�Q�;(A,.,,t qq D 6,
Name of Owne I L aI /I�A�I II ./.. L� •
ddress �•//��`/ c/,QJ a.,t'/'--C_Y . Phone VL'A-14'S 46-
Architect PhoI• Engineer Phone
Contract. 1
4 - 0, �' •� Address/7e q„(.1...?" d, A" 99 07 Phone NU-9-14d ,
Legal Description of Pr.p• vete desctiption f om deed, tax receipt, etc.),2. p� �N r /�
DESCRIPTION OF WORK:New V Addition Remodel Moving Bldg. one Fire Zone
/ ' � ��
Size of L 1 g X /..-5-_, _ Sewage System Stories
Const. L_Dimensions oC Gi X 3! Total Sq.Ft. 1 0 Valuation Q
(Frame,concrete,brick,etc.)
Rooms '' Baths -- Basement —' Foundation Const. _ Chimney Fireplace
(Full, part, none) _ / (Kind) (Number)
Heat. System ^_-" Typ_,.f •oofing 4 '. ./ 1 , Ext. Finish 714,11722
7 2 t -L Int. Wall Finish
.
Use of Bldg. 4 .d...i .. `_`i ir __ 7._
r/ '_ \.If.a'../. ,/, No. of Units — Bedrooms "—
Garage or Carport Attached Private Detached
0 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
____0/6____------
Ind.
Ind. Ins. Acct. No.
lb
. REQUIRED
Plumbing Permit
* \
ns Heating Permit
in D
to M Sewage Permit
. -1 /• .r
.20 PRd pa a D
c itfi A EX/STI Al a-
. Plans Received
4. - ci Sr6RAq. . ' R.Es,eo ns-36Plans Checked
I \
Plans Returned
X3 1
Plans Picked Up
Plans Mailed
/3q,
• // OUTH`s142:
I j�ceerrtify I. or, /i•. •matte• is correct and there are no other structures located on this property except
drofr,
as show i''r- �4C 0..z._
A '..4,Asogkii
Owner or Agent .c 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
T 4'1)4-Your
�_�
Your street address will be 61 / 9 The zone is_,.� w
Sewage Permit Number Issued
Building Permit ceipt Issued _---
Remarks
Form 523 Bldo. Code