1971, 10-07 Permit App: J0941 Garage oi,
County of Spokane, Wash5ngton
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 fq7o
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 mast 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 can not bring action to enforce covenants or dedications.
/
/�� `�A�PPPLLICANT FILL IN BELOW THIS LINE ..I.!_,.ti:�.� '
Name of Owner 7'✓ri /'Ma '.1 •ddress 3 .` .5- ....5 _,,,, L Phone 1/17-4—g-04A9
'Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from dee gx receipt, etc.)1)A.,1/4w._ 7-..t--1-P-71—/ 1
7-.5"1/-1—/� -�
/...07- 4.I /3k./TI< Al0UNTA-/N ✓i,Ev l APD —
DESCRIPTION OF WORK:New �- Addition Remodel Moving Bldg Zone / Fire Zone
Size of Lo 6 3 /3��_
k I!I/1'EC V¢/� Sewage System p(� �"""'V Stories ` 0 _
Const. %� .4W Dimensions /G X �4 Total Sq.Ft. i�1 Valuation oD00
(Frame,concrete,brick,etc.)
Rooms Baths Basement — .Foundation Const. Chimney `- Fireplace �-r
(Full, part, none) (Kind) (Number)
Heat. System Typ of Roofing 7-717 Ext. Finish Int. Wall Finish
Use of Bldg. _ aj/t1Q_ •
I gi�Q�_ No. of Units "— Bedrooms—
Garage or Carport Attached I --- 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.
NORTHState License No.
----) In' Acct. No.
REQUIRED
9 Plumbing Permit
._
Heating Permit
en
0 , — Sewage Permit
,EX/si/NCc Q .V W
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RE�S�o CiUC E
Plans Received j/
C:io 5`) Plans Checked ///
�tti Plans Returned
Plans Picked Up
i Plans Mailed
2 ,c41�/E
uUTri
I hereby certify ':. °rotation submitted is c ct a there n other structures located in this property except
as shown.
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Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /3 g/"3--- e, 3 �--4-- The zone is `"_'
Sewage Permit Number
Issued Building Perm II , .. Receipt �%S 7 Issued /1)-7-7/
Remarks ,if
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Form 523 Bldg. Code