1975, 10-31 Permit App: L1975 GarageAPPROVED AS NOTED
5pgkane ntyBldg. Code Dept. L
my of Spokane, Wasiifigfon
DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE5;Pf'
av
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.
APPLICA T FILL IN BELOW THIS LINE
Name of OwnAddress
Architect Address
91io2/ct,
-
Engineer
Contractor
Legal Description of P'r'operty (Give complet
Address
Address
front de; , tax rece'pt, etc
Phone
Phone
Phone
Phone
9.26 -0/f6
DESCRIPTION OF WORK: New Addition
Size of Lot
Stories.Dimensions
Remodel
• %' -i+'' �O
Moving
Sewage System
Bldg. Zone Fire Zgne
on
• Fr., c Br., etc.)
Total Sq. Ft. 7 QValuatio / ' -e
1,i71%7'P�ai� Ch'mney Fireplace 4!
(Kind) (Number
Rooms _ Baths Basement �� Fo ndation Const
uII, part, non"d) " /�
Heat. System
Ext. Finis all Finish
Use of Bldg. N - of Units _ Bedrooms
Draw ske ch with d',ensions shing:
proposed buildings; (4 distance to prope
tem and water "•ply lines.
PLOT PLAN
operty lines; (2) street or road locations; (3) location of existing and
ines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
I hereby,c�rtify /iniprm�t}on subm tted is
as shown. (!�(/�(/, /(l��j-112 /1.1
correct and there
are
�State Lice a No,
J1M%�-sn�C
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
�n Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other srucur oca t t 1 t d on this property except
1
Owner or Agent
/ 03 J
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
DO NOT WRITE BELOW THIS LINE
The zone is
Receipt
Remarks '
Form 523 Bldg. Code