1971, 10-14 Permit App J1001 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPDXANE. WASHINGTON 99201
APPLICATION FOR LAND L!SE 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 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 nay not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must he 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. IH BELOW THIS LINE �' -e c
Name of Owner � �? _ �r � ' _Address �/ �f 2L3_
Architect Phone Engineer Phone
Phone
Contractor
Legal Descriptio
Address
o�, Property (Give compl description from deed, tax receipt, etc.) / 75- / /
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone
Size of Lo
one%y T, .J 63
r Fire Zone
Sewage System
�y Total Sq. Ft.
Rooms Baths Basement Foundation Const. C / e`�2-, --‹.---___ Chimney Fireplace
(Full, part, none)Ha./ (Kind) (Number)
Ue oft. - T pe of Roofin
System g Ext Finish ./— / Int. Wall Finish
Use Bldg. L�,e ��,� ,!�-Q No. of Units Bedrooms
Private Det.atched
Stories
Valuation f PCs
Const Dimensions
(Fram , concrete, brick, etc.)
Garage or Carport Attached
-r
PLOT PLAN
1* Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
M1
tit
NORTH
32-
—
,1/
Rri
A
M
SOU TH % 20
I hereby certify information submitted is _correct and there are
as shown./
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST RE ON THE ITEMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIN LLCM
(3) location of existing and
(6) location of sewage sys-
State Lice se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit �----
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
if — 7/
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks
zone is
Issued cBuildiog Perrel j/i/,. i� I Receipt
zrc
Issued
Form 523 Bldg. Code