1976, 08-18 Permit App: L5128 Garageiii/ 411/
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT «1
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.
NATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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.
Maio o /) yya-dXJ APPLICANT FILL IN BELOW THIS/k
% LINE l ut 99 a_/
e, Name of Owner O LtT PAta,lJ1•-�l./ Address,a1 - Phone 9 24-1/6 6
Architect Address Phone
Engineer r���� -I- A Address /),O yl /��777 92// Phone _
Contractor '//Ic�t Oi�YG f/14✓L(-fo-01 Address T.(l ! ). f/ (c.,' . f4n1 Phone+�%i�-/`} ?
Legal Description of Property (Give complete description from deed, tax receipt etc 1 ,�14444Q /9,5z5t -6 Tali
tor .24 /3L-/( 2 CWXl 'll,aY,/zi
DESCRIPTION OF WORK: New X Addition RemodelMoving Bldg. Zone / Fire ne
Size of Lot 20 X // , ! /(O1Aiep-I-- Sewage System NA ons
etc.l
�— �!I A o a93s=
Stories Dimensions X 2 Total Sq Ft Valuation
Rooms �_ Baths A./ Basement /V .A Foundation Const //.t&4. W- (A tC2 Chimney MA Fireplace( M/1 -
(Full, part, nonel �1 / yy- (Kind) Number
Heat. System Type Of Roofing -�}.�%'e Z ��-�C Ext Finish /.0?.C- Int Wof llUi Finish �t/A
Use of Bldg. // �Y'L�+/-WLL_ .TI :(.lt�S,L/P No of Units _Bedrooms
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 s • . s; ') dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL — COMMERCIAL
State License No.
6K ON FAA -5
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
to Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
-fig-76
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be a, // /The zone is .1 '1 -u !
Sewage Permit Number Issued Building Permit( �a Receipt .o 512-0 Issued
Remarks
Form 523 Bldg. Code