1977, 08-01 Permit App: M2606 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__7
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 canister 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. Wherethestructure 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 9� ��.Z/ 6 Cr
C-�&.;t/di of Owner �. ./.a #. � Address Z. Z 9/3 LLAtty Phone — �di 0
Architect / Address / Phone
Engineer Address Phone
Address
Contractor
Phone
Legql Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Numbwrl
/-lam r¢ / CC. �fa ��O G' -- � °�`` L /a -
DESCRIPTION OF WORK: New Addition
Size of Lot S' r k I k.
Stories %� Dimensions v' y r-{" ..7 i//
Room /%%L Baths Basement Ato, -.c Foundation Const
Fu I, part, none)
Heat. System /4i0/9G/ Type of Roofing /IXC 111Hwy
Use of Bldg. GfiL-!!� /
• X71./&— /S/5
Moving Bldg. Zone / Fire Zone
Sewage System CX/ti-1/1. Fonst. P IC4t4 ti��
_ / Fr., Conc., Br., etc.) u
Total Sq Ft r7 % Valuation
00 -ht A/ j—Lam/ Chimney/VP" Fireplace
C�/!6/✓�/ C!
iso a......
(Kind) INumb
Ext Finish Int Wall Finish
No of Units _Bedrobms
PLOT PIAN
Draw sketch 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 S
rw
N
y
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby�d is correct and there are no other structures located on this Droperty except
as shown.
7— 72
Owner or Agent Date
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour Iour street address will be
Sewage Permit Number Issued
Remarks
/29/J^
Building Perm t
C.
zone is
Receipt //h' Issued
Form 523 Bldg. Code