1979, 06-21 Permit App: N3870 GarageCoup& of Spokane, Washinqpn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT rC>_
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 performea 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 building (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 If
Name of Owner._ Address =/ /�, In "A O\ I,jad-x��
Architect . Address_
Engineer_ Address__r
Contractor A o• Address. L_ , I b 3 Is
Legal Description of Pro rty (Give complete description from deed, tax receipt, etc.) Parcel Number_
Phone
Phone
Phone
Phone _aZ — p SSS
'14 y —1 I /Y -M
DESCRIPTION OF WORK: New Addition._ Remodel Moving Bldg. Zone - A-- Fire Z ne 7✓
Size of Lot �� 0 Sewage System _.�Jy( onst. -'��
n �Fr., Con Br., etc.)
Stories </ Dimensions X �� Total Sq. Ft.�{L Valuatio _2,E��M
Rooms --A— —^ Foundation Const.—-�5'vvrJt Chimney Fireplace
( ull, part, none) ( ind) (N tuber
Heat. System Type of Roofing 02ZE11,40 Ext. Finish 44�(�_ Int. Wall Finish
Use of Bldg.90Li1 !`TSLD.I _J]_, No. of Units Bedrooms
ROADWAY R/W WI
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
�tqd water supply lines.
NORTH
State License Np.
Ina. Ink. Acct)JNO.
� RESIDENTIAL - OMMERCIAL
REQUIRED
1 Plumbing Permit
m Heating Permit
, N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby ce tify information submitted is correct and there are no other structures located on this property except
as showq./�-15< f
Owner of Agent Date
A LAND. USE OR STRUCTURE PERMIT MUST BE ON' THE PREMISES BEFORE CONSTRUCTION COMMENCES.
\ �THIS IS NOT II PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
�. a 1 DO NOT WRITE BELOW THIS LINE
/4.
N
Your street address will be ffla zone is
Sewage Permit Number Is ued _ Building Permit Receipt 1V?e#'VIss ed
Remarks
Form 523 BldU. Code