1977, 12-13 Permit App M4381 Garage1i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
2�
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. Nater supply must be approved by the County and State Health Departments. Where work on water connections disturbs
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the stir ace, 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 LIFE e �;��A f�,
Name of Owner
Address 61
-I
-f/ Phone
Arch i tett
Address
Phone
Engineer e it ot 01
Address
le
Phone
Contractor
Address
on f9
Legal Desc iption of Property (Give complete description fro
4
d ed, tax receipt, etc.)
Parcel Number
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l
L .0
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DESCRIPTION OFWORK:,. j C�/Addi iQn Remodel Moving Bid Z ne r Fire Zona�T_
Size of Lot /lC/ L�� Sewage Systst���
Fr., Conc., / t
C/
Stories Dimensions oral Sq. Ft. Valuation
Rooms Baths Basement Foundatio Const. Chimne
u 1, part, none y Kind) Fireplac �Numbgr
Heat. System T of R5?ng j ExxttFFiiniis/h/ L�<° Int. Wall Finis
Use of Bldg.._(/j�o_a-----
ng nor% n. A..
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 to a License No
Ind. Ins. A c . No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
N Sewage Permit
H
Plans Received
,s
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
by r infor ion submitted is correct and there are no other structures located on th✓i�s Property exce�
�` Own 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 The zone
Sewage Permit Number Issued Buil ng Permit Receipt.Issued
Remarks
Form 523 Bldg. Code
Universal Steel Buildings, Inc.
RULES: NAME
1) bldg,
must
be
5 from property line
2) Bldg.
must
be
10' fror., drain field
3) Bldg.
must
be
2i' from property line if property
line
is next
to a street
4) bldg,
roust
be
10' from all existing bldgs.
1i e
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hD PLAN
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It
A)n
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ADDRESS WHERE 3LDG
WILL 3E LOCATED 7/C,
When to be built
BLDG. SIZE
PARCEL #
WA C6 Ro cwl P
INSTRUCTIONS:
1) Draw in all existing bldgs.
2) Draw in new bldg. and how many feet it is from existing bldgs, and property lines
43Name all roads next to property
Draw in drain field and whether you are on a septic tank or sewage system.
Need size of property
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