1971, 10-05 Permit App J0874 Residence, GarageCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
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 most be approved by the County and State Health Departments. Where work on mater 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 biA
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.
&STRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials car. not bring action to enforce venants or dedications.
. �LICANT FILL IN BELOW THIS LINE; r,
Name of Owne
reqs
Architect Phone I gine Phone
Contractor . Addres. Lime_.1 .3/
Legal Descripti/1 of Property (Give comple4ee descry ion from deed, recei) etc.
uESCAIPT ON OF WORK: New ddition Remodel Moving AwAone —Fire Zone
SizAV
Sewage Syste -Stfries
Co imensions .�% .�
(Frrete, brick, etc.) .o� Sq. Ft. Valuattonl
RoilB hs Base Fou on Const L.el' y Chimney tre ace
oil, par , one)
Heat. Syste (Kind) IN
Ty of Roofing Ext. Finish Int. Wall Finish
Use of Bldg.
Garageed--- No. of Units Bedro s .
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
FS
th
tnuwu
/C51O /
I her by certify information
as shown. Y i',
Owner or Agent �,
A USE STRUCTURE PERM
THIS IS NOT A PERMIT.
Y9ur'street address will be/Q/
Sewage Permit Number Issued
Remarks
Form 523 filch. rnd
State License No.
Ind. Ina. Acct. No.
RE IR
Plumbing Permit
w Heating Per
Sewage Permi
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
;is correct and there are no other structures located on this property except`,
DO
HEPREMI S
THIS
Building Permit
_/-'7/ 11
Date
BEFORE CONSTRUCTION COMMENCES.
zone
Issued
_ W.
MV
EA:
/ Fd '
Ld� 7t, u `,l
/ /e r A Q
..s
/agog