1975, 02-28 Permit App K6805 Garage • i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7%)
GENERAL REQUIREMENTS PERMIT FEE / 1
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,,end 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 Name of Owner PCi'4.1[r l Y24U�'O/J,/ Address -�BO ft ja 1i ci Phone 9 6 '"46g7n
Architect Phone Engineer
Contractor C/� 1 Phone
oki,ti/i1/ci'i' l J i/Ys'f Address V 4./D 4fi9.K l>f' /1te le CI Phone y'.,b —le/ _—
Legal Description of Property (Give complete description from deed, tax recei etc.) CC 5 f�3 - 4///
zi_ji
°,.d.: , DESCRIPTION OF WORK:New £. Addition Remodel Moving Bldg.Zone / Fire Zone L._-?
- Size of Lot /SL/X /G 7 Sewage System
t Stories
Const. FiC� -
Dimensions . 4 )( Total Sq.Ft. ,l- Valuation 38(0 '2(Frame,concrete,brick,etc.)
Rooms Baths Basement Foundation Const. C��Y� '
(Full, part, none) ?LC Chimney Fireplace
f /r // (Kind) (Number)
i ,; Heat. System Type of Roofing lam/ E . Fini a�jlvl Sc) Int. Wall Finish
Use of Bldg. .ma 2i No. of Units Bedrooms
Garage or Carport Attached Private Detatched___I—
-� PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH State License No.S_
' Ind. Ins. AcctNo/ .f,
f
_ j7 _
qn� a `__1 REQUIRED
/1 4.- .
Plumbing Permit
c® ---•9 VI---1 m Heating Permit
47 ' a
♦ vsSewage Permit
I Plans Received
e‘trshil
Plans Checked
{J/4/( Plans Returned
I / Plans Picked Up
/1/ Plans Mailed
I hereby ce tify information submitted is correct and there are no other structures located on this property except
J` as shown.
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 W E BELOW THIS LINE
Your street address will be a zone is �,
Sewage Permit Number Issued Building ermi �0 - ' Receipt Issued -
Remarks "�0
,rm 523 Bldg. Code
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