1976, 09-21 Permit App: L5569 GarageAPPROVED AS NOTE --,
Spokane runty BI'g. ode Dept.
Date / -_ 6 Co ty of Spokane, Washington
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. II
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CODES
by u tEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ob
GENERAL REQUIREMENTS PERMIT FEE /42
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.
1COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
a
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 qqg /6
s p1
Name of Owner 1?rr h f er li'yl uAtst' let- Address 4/ 1 /D /3 i StEd Phone 9t R 9.73
Architect Address Phone
Engineer Address Phone
Contractor S41.1 C - Address �JPhone J�
Legal Description of Property (Give complete description fr m deed, tax receipt etc.) T / 4" 0.2.5-412- T'107
S of �v a- 70 'al w % erre; c7' a s -"'re -,Tr wac3 arc brd
DESCRIPTION OF WgK: New Addition {� Remodel Moving Bld .Zone Fire Zo�
Sewage System Dost.ff%e.
L�Fr„ Conc., Br„ etc,)ce2
/ V Total Sq Ft � Valuation �7d�
Rooms Baths Q Basement ' Foundation Const t.-!.�"/c1 Chimney 0 Fireplace
(Full, part. none) /. �j (Kind) f) (Nu er
Heat. System Type of Roofing eclat'? Ext FinishCS/Y4rJ'9P Int Wall Finish SL7 Pt i / OC -/C
Use of Bldg. ee -, /l' /9 /CC/ a.4 '7� /Hi el. <- t. CLOW t' No of Units L Bedrooms 0
4t PLOT CPLAN A D ,)
Size of Lot �`6 X i 3S
Stories Dimensions
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 RESIDENTIAL - COMMERCIAL
State License No.
cry w vl err-'
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1 I hereby certt €€yy information submi5tted i orrect and there are no other structures loc ted on this property except
as shown. n f/ // ✓✓LL ,�� 0'1 74.
Owner or Agent tnLe/ iYLtC/" Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION .COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be L .3 TO !J -c 't
Sewage Permit Number Issued Building
Remarks
Permit
The zone is
Receipt [Y ssued/
Form 523 Bldo. Code