1977, 08-10 Permit App: M2761 GarageCi.4anty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT) O p
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 mast 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.
SETBACK 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 1 nd
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedication .
APPLICANT FILL IN BELOW THIS LINE
Name of Owner D O1• er thi 21-ssf7,c.:' Address /?O 'J S L/5A in an Phone 4,96 -EO yd
Architect Address Phone
Engineer n Address Phone q
Contractor
el -et ✓l.0 o h titer / al Address �d 9/y Z'^ t,+3) ho4d Li Phone
/�,,---2Z7e<
Leggal Description of Property (Give complete descri ion from deed, tax receipt etc ) ._,-2/1 $333 - 7 8'D ,/
207- d/ S/aC./c' P s1eS trc._
,'/
-47abe til^ k"
DESCRIPTION OF WORK: New ✓ Addition
Size of Lot 7S 1 X to
'
Stories � Dimensions X
Remodel
Moving Bld Zone Fire Z ne
Sewage System Const
(Fr.. Co .. Br., etc.)
a Total Sq Ft r244 Valuation -.?6,60. b
Rooms Baths i/4- Basement .v'/- Foundation Const &t4 < -t- °I- p Chimney ti�-- Fireplace A'#
(Full, part, none o (Number
Heat. System JJ,f/IZ�.— Type of Roofing .571CL/ Ext Finish Ste_/ Int Wall Finish
Use of Bldg.
rot
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.
No of Units _ Bedrooms .-1/14-
PLOT
,✓/Q
NORTH RESIDENTIAL COMMERCIAL
I hereb certify informs
as shown. <�'J
SS1 Owner or gent
State License No.
..2023 - o/
Ind. Ins. Acct. No.
ez 4/5...2.9
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on submitted s correct and there are no other structures located on this property except
/O• 77
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
Remarks
DO NOT WRITE BELOW THIS LINE
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Issued Building Permit/1 Receipt7` Issued
Forrn 523 Bldg. Code
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