1977, 09-09 Permit App: M3218 Garage• r
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._J3
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
Name of Owner / /� . _ 7 i'' Address
Architect Allir Address
Engineer Address
Contractor _ - - Address
Le al Des igloo of
one
Phone
( 2 37Phone
Phone
pompjete descripti r deed, ax recei. , etc.) 'ar el Numb
Q7� , /, /
i
DESCRIPTION OF WORK: New Addition ` Remodel
X /C1/
Size of Lot
Moving
Sewage System
Bldg. Zone
Fire
Const.ArA0--/X0
C (Fr., Conc. r., etc.)
/ Total Sq. Ft ValuationBasement
Stories _LDimensions
Foundation �.c ". Chimney Fireplace
Rooms
(Full. part, none) n(Kind) (N mber
Heat. System Type of Roofing �
(%%fJ Ext. Finish / % Int. Wall Finis- _
Use of Bldg.
///.14//1 (.??,11_.// No. of Units _ :edrooms
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. 4
S
94Dociiel
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‘(711C' I ig,it\;14 ‘/: i.,_
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I hereby fy informs
as shown.
SOUTH
E IDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
itted is correct and there are no other structures located own this property except
'12- r or `Agent 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
Sewage Permit Number Issued
Your street address will be G. </Jl ��`7 /fes l X21 '
The zone?'
Building Perini y Receipt. 174 saued
Remarks
Form 523 Bldg. Code