1977, 09-28 Permit App: M3522 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 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
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.
��j�A/PPPL CANT FILL IN BELOW THIS LINE ? -.-2 '
Name of Owner i �tSi�S /4', Address �, /e
Architect Address
Engineer Address
'Z f^ Address
Contractor
Legal
Phone
Phone
Phone
Ph ne
Description of Pro rty (Give complete descri do from deed, t x r eipt, e ) rcel um er - mss- Ofj Y7; 6!/
iiigneirMEMW' MAW'
DESCRIPTION OF WORK: New Addition
'
Size of Lot
Remodel
Moving
Stories Dimensions Y Av
C" oc-
Bldg. Zone / Fire Zone
Sewage System �,Yr s 7117 Const. % '4
Rooms ( Baths4, 2 Basement Uy�- Foundation Const
(Full, part, none
Heat. System w Type of Roofing C 0 .Y! :.r E Fi »ish
Use of Bldg.
Total Sq. Ft -6
C #fo ! R
7- / -7/
Chimney
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 /,2
Fr., Conc., etc.)
Valuation ��' ate
'� Fireplace / (/"V
NumberZ
Int. Wall Finish F1't ( /'Li S
No. of Units Bedrooms /1'
(Kind)
i
20
as
SOUTH
tify information submitted is correct and there are no other
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
RESIDENTIAL" - • MMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
str tures located on this property except
r — 77
Your street address will be
Sewage Permit Number Issued Build'ng Permit
Remarks
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
2.-
The zone is
Receipt
Form 523 Bldg. Code