1976, 09-08 Permit App: L5323 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 ouieter 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.
nAP�1PLICANT FILL IN BELOW THIS LINE «vI qq�d
Name of Owner 'ij44-'VLLCt.d// =&,41+1441 Address /0.'O// - Phone 926-9/ 71/
Architect Address Phone
Engineer Address Phone
Contractor •�(twVL2 -Address /J �1 Phone
Legal Description of /J Property (Give complete
complete descriptionsssfrom deed, tax receipt etc ) A O��-✓ /6� // Q 76,7
S %70 07 ,E'*.1 O1 IN 6j 08 -t. t/'Co sXG J. �,J / I)X!R-'d—fliCy.C.Ltf.
•
DESCRIPTION OF WORK: New Addition g•
%( Remodel MovingBldg. Zone —/___ FireJ,nne . '
Sewage System NA Const. t=--
(Fr., Conc., Br., etc.bo
Stories LDimensions X 2 � /1 Total Sq Ft s'7 Sa• Valuation -,500
Rooms L_ Baths Basement NONE Foundation Const `-' Chimney NA Fireplace //A
Fu 1, part, none) y (Kind) (Num_lier q
Heat. System vu�, /A Type of Roofing n PL/C., ' Ext Finish SK1 ./-12514-11/ Int Wall Finish -1-r14e-' .s/9Q
Use of Bldg. /.J/1 -/,P :( j (X-P/t4 ft-tbatt At -'T -('P - 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.
Size of Lot S'OX/76
-1
NORTH
RESIDENTIAL'- COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n7 Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informati., submitted is correct and there are no other structures located on this property except
as shown..
-4..44, i
Owner or Agent
9- b'- 76,
Date
A LAND USE OR STRUCTURE PERMIT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT 4 PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be (6),, /-20// `./,(t,Gle-64" The zone is ni:WAJL 't C. tcf a -
Sewage Permit Number Issued Building PermitgidaL Receipt A 9/ Issued
Remarks
O,K. a)
Form 523 Bldg. Code •