1979, 06-12 Permit App: N3615 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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.
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 94(p
Name of Owner wc3.Lj rf L\ C PJ4Oi Address
Architect Address
Engineer '^�- Address
Contractor Ui'lil;'erS!-fit s Tr1CJ Address
Legal Description of Property (Give comple description
nrd- ,r C1 Ct\tEnuj neit 41(w\ N .
rue\d •••kc_. E. s s,
'&_ m._ .
esi. II
e
G2U(131ST:p
Phone
Phone
C 211 2Y)( S I'ntZ Phone «I1--7
from deed, tax receipt, etc.) Parcel Number 17 531 - (.060a
8O' o� �Z5I ' O F I'3I k 22'l e LE Imo` 162.5)
DESCRIPTIONOFWORK: New X Addition
Size of Lot 0 X Q5-1
Stories I Dimensions
Rooms NIA BathsBasement f�jA Foundation Const
Fu 1, part, none)
Heat. System via Type of Roofing ,S4e.e.-,J
Use of Bldg. (slr-1-1CiC)
Remodel Moving Bldg. Zone / Fire Zone
Sewage System ncu Const. ,SSI
(Fr., Conc., Br., etc.
24- x 24 Total Sq. Ft �(o Valuation -C'"-
I l°.1-t.1�'-P� Chimney nta} Fireplace nos.)�1 (Kind) (Number
Ext. Finish 4 e.i, Int. Wall Finish riO_J
PLOT PLAN
No. of UnitsLBedrooms OCU
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
SOUTH
I hereby certify information submitted is correct
as shown.
Owner or Agent
State License No.
z23 -61 -UN, I V -es - BD -5
Ind. Ins. Acct. No.
31b, 5%11-- 00 4
REST NTI y. COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
wiz/� �d?/ t.w
and there are no other structures located on this property except
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
Sewage Permit Number
Remarks
Issued
.. ". The zone ig,r1r 7
Building Permit ; Receipt _ Issued
Form 523 Bldg. Code