1978, 01-06 Permit App: M4540 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 3o
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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 ??..z06
,4' .7G /O V(c/`fZ'.
Name of Owner C4 (/ C r/` /�O2y gn SON' Address
Architect Address
Engineer Address
Contractor Address
Legal Description of Property (Give complete description from deed tax receipt etc) arcel Npmber
(AL) Tgac.7t9G, FXC, S_ 7.5-/
't / e 'c ti'a � c� f Ue
Phone
Phone
Phone
P -Z6-7701
Phone
o
5–'/2_.6 703
S .7, 1 3, /-
DESCRIPTION OF WORK:sblew v Addition
Stories Dimension
Rooms Baths /T Basement�4/V�Foundation
(�1FFF Type of Roofing ' o
PLOT PLAN
Size of Lot
� yX y0
Remodel Moving
Sewage System FX t S -7#1--,„Const 1-7/Z- ? `��
�]�(Fr., Conc., B t c2„...4 --
Total
Total Sq Ft ,L11 Valuation ���
Const C d iv'C fee ( chimney�d = Fireplace rd 4'��
(Kind) Number
Ext. Finish T —/ / Int. Wall finish VN ,.V/ S - P 4_
No. of Units Bedrooms
3
Bldg. Zone / Fire Zone
Heat. System /�..+
Use of Bldg.
yfl,p�rt,no el
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-
em and water supply lines. /
NORTH
/
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I heFeby certify information submitted is correct and there e no other structures located on this property except
as shown.
A LAND USE OR STRUCTURE PERMIT MUST B
THIS IS NOTA PERMIT.
Date
ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Tour street address will be », Q (x' (U 4„,( eci e zone is ' sU.1'
Sewage Permit Number Issued Building Permit Receipt / / ® Issued
Remarks
Form 523 Bldg. Code