1978, 04-13 Permit App: M5778 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 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 1� N h s C 1 h S C� h Address fS' C?y E. �� uc� u 5T0. Phone 92�Z r✓ J
Architect Address 9 of 2 '� Phone
Engineer Address Phone
Contractor p c !Q v �I� P_rS Address /—a 1" IQCI Phone 9 2(9 'd'OSLS
Legal Description of Property (Give complete description from deer, tax receipt, etc.) Parcel Nurhq ar2 L' 0 .7 S 4/3— / c /x/ 3
S0. K+ %uS G 1 C4. ti■
/.1 "312
Q (1 ^ I3 a /Ll % PT c- R 1'
DESCRIPTION OF WORK: New )( Addition
Size of Lot h )(J R°
Stories 1 Dimensions 2 ', %: 241
Rooms Baths Basement NA Foundation
Fu 1, part, none)
Heat. System /% A Type of Roofing C1 v f
Use of Bldg. Gc.cYfA9'e P tvtt e
Remodel
Moving
Bldg. Zone / Fire Zone
Sewage System ..--�- onst. i ►^A 14i P
(Fr., Cone , Br., etc.)
Total Sq. Ft -5- 7 6 Valuation Lj,
Chimney Fireplace
Kind) (N ber
T--) —I) Int. Wall Finish /G//1
No. of Units _Bedrooms
Const �' o vt c 1- et
..11Ext. Finish
DE�ICt c�e
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.
SOUTH
22 3—oi
State License No.
EA F)3 235 P&
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
n� Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby7e;tlify information e( correct and there are no other structures located on th• s prop rty except
shown. C. `+�/.1/�
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Tour street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
0
uilding Permit
e zone i
Receipt
Form 523 Bldg. Code