1977, 05-04 Permit App: M1005 GarageCounty of Spokane, 4 Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEES v
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 onwater 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
`STATE HIGHWAYS. Where thestructure abuts a State Highway, clearance must be obtained pertaining to set -back and
land egress.
780
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
ingress
,COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be 4 -
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
Hig/way, 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
99c2/6,
Name of OwneAddress
Architect V Address 1
Engineer /,�JJ�
Contractor .(•�/I?cruse i
Address
Address /09/ 7 f
Legal ascription of Property (Give conj fete dbscripti n from deed, tax receipt, etc.)
-t/6 es ..7 .
Phone 974/ %.x: 3r?
Phone
Phone
Phone 7 •-a? %4
Parcel Number f t2'7a z,4z - /9
DESCRIPTION OF WORK: New /1 Addition Remodel Moving
Size of Lot 8/ j X 1,.'37'
99 /
Stories _Dimensions r c. X `/ Total SqFt q4�.445-7..D-.
T Valuation 7X
Roans _Baths— BasementFu 1, part, none 'IFoundation Const antra, - -cert-k-Chimney(Kind) Fireplace
�-- /� (Number
Heat. System Type of Roofing-y..,.,z—, Ext. Finish Int Wall Finish
Use of Bldg. . n., -1, -Lex' ,C No of Units _Bedrooms
Bldg. Zone ._L— Fire one 023
Sewage System cOnst
nc., Br., etc.) p
Draw sketch with.dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
Ul
-I
H
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH-
State License No.
.2 013 -o/-
Ind. Ins. Acct. No.
G7'yd e 3
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
aSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Iher certify infer mgJj ion submitteij is correct and there are no other structures located on this property except
as shown
7/97
Owner or Agent 0 Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
i? -5(/ 0 J _ / > The zone is - -
Issued Building Permit /Y/ 47Receipt 9/ac Issued
Binns
Form 523 Bldg. Code
0. Y