1978, 04-03 Permit App: M5556 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE2 t---�
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 workonwater 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 thestructure 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner eat %��Qn A„_, Address Phne9aq 2 2
Architect Address
Phone
Engineer Address Phone
Contractor wAddress Phone
Legal Description of Property (Give complete description from deed. tax r
0.7
etc.) tPgrceli umber
/P-1,./SA
DESCRIPTION OF WORK: New 7% Addition
X /36.6
Size of Lot
Stories L/ Dimensions
Rooms -J— Baths
Heat. System
Use of Bldg.
Remodel
Moving Bld Zone / •Fire Zone .3
Sewage System Const.
T� 1Fr., Conc., Br. -c.�
a 8 x 3a iy _�P t Total Sq Ft / Vo Valuation
Foundation Con9e-e>�
Basement
Fu 1, part, none}
Type ofR rng
frtalifat
E yFinish 917
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.
Chimney - Fireplace
(Kind) (Number
Int Wall Finish
No of Units Bedrooms -
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plana a11to
I hereby cert if/yi/,tIpfoorrmatio ubmil//tttttte correct and/ there are no other structures
located on this property except
as shown, . /f /Q,I,CK/i2e(' ) r1�CctI 1 v? t
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 K' -S-6
Your street address will be e /,.2 ?I) t�
Sewage Permit Number Issued /
Remarks
Building Pe
The zone Ie `r -^D'& L
Receipt/007 Issued
Form 523 Bldg. Code
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