1975, 12-01 Permit App L2185 Residence, GarageCuliinfy of Spokane, Wasekngfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 00
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 aqy
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. 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 t/ Address
Architect Address
Engineer Address
Contractor Address
Legal cription of Pro y (Give complete descriptio f m deed, tax receipt, et
6i 7_ / — . .1_4y
Phone
Phone
Phone
Phone
1
,9/_3.36
DESCRIPTION OF WORK: New Addition
Size of Lot / 0 o k 115
Remodel Moving
Stories / Dimensions 6 ' (o I— 5"1 2 VT Total Sq. Ft. / % 2 n
Rooms Baths Basement Foundation Const
(Full, part, none)
Heat. System 4ype of Roofing Ext. Finish
se of Bldg.
PLOT PLAN
BId Zone / Fire Zone -...'?
Sewage System / foost ''� r-i /�J
Fr., C nc., Br., etc.)
Valuation• � q j
Chimney Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units _- Bedrooms
Draw sketch with imensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; ) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH Y1(
RESIDENTIAL - COMMERCIAL
I er by cert
as show
D USE OR STRUCT
S 1S NOT A PERMIT.
�r.
Your street address will be
SOUTH
ioq Ubmitted is cor
4716 3,-)
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
/.2//7 s
Date
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
The zone is
Sewage Permit Number Issued Bing Permit Receipt ft \Iss
Remarks
Form 523 Bldg. Code