1975, 08-14 Permit App: L1219 Storage BuildingCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT•
GENERAL REQUIREMENTS PERMIT FEE 1ff aoec"
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 ■ork on Mater connections disturbs
the surface, shoulders or ditches of. County Roads, permission must be obtained from the afilaty Engineer's Office.
SEWAGE SYSTEM. Permits are required -in all cases by County Resolutions Nos. ,r "-""
4 x33 and 47235.
SET -BACK FROM PROPERTY LINES. In most zones and under most oircuwstances, 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 OW 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. Accea'`ory buildings (garages, sheds, etc.) require a separate permit.
^old check provisions of covenants or dedications and easements running with the land
RESTRICTIVE COVENANTS. Builders suo-_ Officials can not bring are enforceable through civil acttu�. County action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE J.hCfA,A4a_ / /&
Name of Owner/o 2e �,gr Address "i �� fl Q'Sta.a4 Phon•
e 200-4—�SDia
Architect `'�-� Address Phone
Engineer Address 01-a
� Phone
Contractor Address ,5�3 79- �-S��//.�[ Phone 4 re —arab Description of Property (Give compl to de cription from deed, tax receipt etc 1 ��O?s'Yd — /4103 £ 14
• all i a/ LI drag i.e.
r01,1-4ti, , v M vc . /S-rri<r �R {^'/In ,, o .1..m , ,cybe � #'/c S -S/ 3- /,3�3 �—
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DESCRIPTIONF ORK: New • Addition Remodel
Size of Lot n (ilQ/LFy'i.meitr/t j'7 -r`/11.e)
Bldg. Zone _/ Fire Zone c-- -
n arwage System o.
FFrnst., Con ., Br., etc.)AA-
Stories Dimensions c-2/1 / -S24 / Total 'So Ft i".00 Valuation D@, :71
Rooms BathsBasement Foundation Const Chimney Fireplace
Fu 1, part, none) (Kind) (Number
Heat. System Type of Roofing Ext.. Finish Int Wall Finish —
Use of Bldg. �
_a �y / `J7701J-[.L(� No of Units _ Bedrooms
77D C el A 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
r,
01,000 tit
�-
40'
State License No.
GCJ /2
Ind. Ins. Acct. No.
m
N
REQUIRED
,ss,d x'36/
Plumbing Permit de li
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I herebyyy cgggrtify 4nfor tion subtiitted is correct and there are no other structures located on this property except
as shown. i'/�
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be -(5--c--,2a �� j1/A - The zon84
Sewage Permit Number / Issued Buildin ermlt/j/,Q / 9 Receipt t (c -
Issued
JF a1/ .l
c
Remarks _._..
Form 523 Bldg. Code
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