1977, 03-31 Permit App: M0287 GarageCZ6nty of Spokane, Was�I:Figton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/1gl
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 1
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 ,.� 7 ,4ef QQ f. J[e
Name of Owner c./ Address I, / -29 / r, �LLa-G.�ttf Phone q^�-Q-;z9 �
Architect Address f Phone
Engineer Address Phone
Contractor /i21
fl-vM 2 Address Phone
/)
Legal Description of Property (Give complete description from deed, tax receipt etc) PAY.-tV/fA - 7614/Q- /41/
A. or /4 a :..K 3 3. d Gl i et/ a-tr., t • 01 ,,f % Lf+i.( /!
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot Sl <5-.<e40
Moving Bldg. Zone Fire 7gne •
r
Sewage System !✓/Ionst.
i
Stories Dimensions
Rooms / Baths Basement V
ull, part, none)
Fr., Conc., Br., etc.LU
X - Total Sq Ft ?5 Q Re Valuation 146/G.�
/} (.n.dat, Chimney NA- Fireplace AtAE
(Kind) (Number
I ati---q Int Wall Finish NA -
No of Units —Bedrooms
Foundation Const.
Heat. System / Type off Roofing �r z. , Ext. Finish
Use of Bldg. ,Q _ ett-(ir� 4 J7 • 1e 1 P -d
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.
y
NORTH
RESIDENTIAL - COMMERCIAL
S'
C4 -o 35Ev
RD
SOUTH
chliereby-tertify tion submitted
as shownx
ner or
1-
w
N
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
?-3/-7 7
Agent 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 will be (C7,, /.72,_ 1 / The zone is 2 .',Q.NfC.. Ae.p.4
Sewage Permit Number Issued Building Permit/a 5 -,2p Receipt 5711.2 Issued
Remarks
'T f'2/YLf1 , fl K
Form 523 Bldg. Code