1977, 08-12 Permit App: M2759 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 soy
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 47235.
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 Ingresgk
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 OP 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 enforc< covenants or dedications.
/APPLICANT FILL IN BELOW THIS LINE .�i •yd
OM1-- /_ Address 3 - _ Phone ,'J- ?- 3 a
�Address Phone
Engineer Address n Phone
Contractor ,�7-7.CR — Address -o-o�f t Phone
Name of Owner
Architect
Legal9qscription of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
0: re -fa -5-7o3
DESCRIPTION OF WORK: New _ Addition
Size of Lot // <) ( S S
Stories Dimensions
Rooms Baths--mitBasement
I, part, nonce
Heat. System Type of Roofing
Use of Bldg.
Remodel Moving Bld Zone / Fire Z e
Sewage System t/ �/ Fonat.
Total Sq Ft / s? Valu tion Br., etaIJ Q�
_ Foundation Const �d/4 P Chimney Fireplace
(Kind) (Number
�f �,, Ext. Finish __ Int Wall Finish �-
4.(.iisNo of Units_. Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
i
NORTH
PLOT PLAN'
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
�» • //l . 2 3
9zir6 a G g- -Qat-r-� a Cl7
SOUTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
• Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on
hown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
hi property except
DO I ITE BELOW THIS LINE
Your street address will be)
p� The zone isO`�'�`
Sewage Permit Number Issued Building Permit 11 Receipt q/S3 I�
Remarks
Form 523 Bldg. Code
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