1971, 07-23 Permit App J0175 GaragePPROVED AS NOTED
Spokane County Bldg. Code Dept.
DatCounty of Spokane, Washing one �- " 7/by
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE. W
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.
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.
Highway, clearance must be obtained from the County Engineer and/or State
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a
RESTRICTIVE COVENANTS. Builders should check provisions of covenants
which are enforceable through civil action. County Officials car. not
When a building is moved on a County or State
Highway Department.
separate permit.
or dedications and easements running with the land
bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner'ddress
Architect Phone Engineer
Contractor^ Address Phone s
Legal,Descxiptioof Prope -t '(Give compl9t1 description from deeds-ta ecei t, etc.)
/-5 / /zr-
DESCRIPTION/OF WORK: New ,Y Addition Remodel
Size of Lot o X 3'5o X Fs b
Const.1..--- -e Dimensions .f it 3
(Frame, concrete, brick, etc.) �'`
Rooms Baths Basement Foundation Const y
(Full, part, none)
Heat. System �� Type of� fin Ext. Finish
Use of Bldg.
Garage or Carport Attached c
Moving Bldg. Zone Fire Zone
Sewage System Sto • s
Total Sq. Ft 2 2-62 Valuatio no [ �`
Chimney Fireplace
(Kind)
Int. Wall Finis
No. of Units Bedrooms '
Private Detatched
(Number)
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.
NORTH
I hereby certify information submj)tted is correct
as shown. ' ^
Owner or
ent
State Licrise No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
here are no other structures located on this property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON HE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be U /'i +�
Date
CONSTRUCTION
e zone
Receipt
COMMENCES.
Sewage Permit Number Issued Building t
Remarks
ued
Form 523 Bldg. Code