1977, 04-26 Permit App: M0880 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0 d%
GENERAL REQUIREMENTS PERMIT FEE LO
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 mus 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 Stte
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.
*STRICTIVE 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 I ELOW THIS LINE
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Name of Owner 4 AddrAss , 7 �/if-011- Phone rfI v•z C / 0 9
Architect Address Phone
Engineer/Address Phone
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Contractor %1. /51- Address .e_A Z Y 6/1441-01"--0-4-, 5
Legal Description of Pr perty (Give complete escriptio rom de d, tax receipt, etc.) Parcel Number w?54' ^ 0 Z
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DESCRIPTION OF WORK: ew Addition Remodel Moving PO g
br-
Bldg. Zone / Fire one
Size of Lot O Fonst, 7,-"2--
7 A/9c)
Stories
D 9 c1" 'Z y r -
Sewage System
/ err., �,o�c. Br„) etc.) ._..
imensions Total Sq. Ft '..-.76 Valuation "� '
Rooms Baths Basement Foundation Const Chimney Fireplace
Ful, part, nonce— (Kind) ((Numbej
Heat. System Type of RoofingCOis,p Ext. Finish /r` l ° Int. Wall Finish G� .�
Use of Bldg. ,C.'7_ .4 No. of Units Bedrooms
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.
NORTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
en Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb certify informati n submitted is correct and there are no other structures located on this property except
hown6�✓' G �
1, 7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO 1?T�WRITE BELOW THIS LINE
Your street address willa ,.2- Ck( -... � ;a) L , rr; N (1 \t d`4h e zone is
Sewage Permit Number Issued Building Permit ,
Remarks �I . 4. ReceiptcIssued
Form 523 Bldg. Code
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