1972, 02-03 Permit App J1778 Residence, GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .iii/
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.
c;OUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
Orformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
VING 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 q c=i ,,6
Name of Owner u/ ' %A ' R o -e t/ S Address = /J J- i E'o: 6e kl Phone / ,�/-i 1.G 1
Architect Sri- f77 f'
Contractor 5-A-/-yz--c
Legal Description of Property (Give
Phone Engineer Phone
Address Phone
complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 1' > Y .4cRE)
Const FTA Yt arDimensions ?f.ir: 1 -L a'Zq-742# t/
(Frame, concrete, brick, etc.)
Rooms Baths Basement �c/ Foundation
(Full, part, none)
Heat. System FA-6" Type of Roofing
Use of Bldg. S iN f 4'
Garage or Carport Attached
Const <%,"te. c .
S h "/r& Ext. Finish
Moving Bldg. Zone / Fire Zone
Sewage System
� !I G Stories /
Total Sq. Ft. Valuation , < / 9�-'
213Z
Chimney / " Fireplace 2?--
(Kind) (Num er)
G %�✓� I� Int. Wall Finish ZU U L
No. of Units Bedrooms
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.
NORTH
,4/ T
SOUTH
I hereby certify information submitted is correct and there are
as shown.
Owner or Agent
/ r
State Lice se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
DSewage Permit
Plans Received
Plans Checked
Plans Returr.ed
Plar.s Picked Up
Plans Mailed
no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ✓G� . -S G S
Sewage Permit Number Issued
Remarks
e zone is l
Building Permit
'> 113 g Receipt e` Issued
415
Form 523 Bldg. Code
f E E V E LO R.
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