1976, 10-29 Permit App: L6021 GarageCanty of Spokane, Washgton
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 onwater 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 47235.
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 tbestructure 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 999&4
Name of Owner r; "Le y /O,9CP/Uske. Address o2�0 3 /V • �Ci�/9..ff/Jr//'7 Phone
Architect Address Phone
Engineer Address Phone •
Contractor S.F%ir7S Address /J�� Phone _/
Legal Description of /Property_ (Give compl$eee description from deed, tax receipt etc 1 / aE/ /&b 31- (o Q/
!V 6 �J ' 4�C-- �c A. & - Last, .6? -4x -P-,.
DESCRIPTION OFWORK: New At
Addition Remodel Moving Bldg. Zone / Fire rZone -3
//
Size of Lot fP' eri X 30 9-71— Sewage System SC JT t Font.
Stories Conk, Clef
/ Dimensions as X 3a �_Y Total Sq Ft Q
(Fr.,-
.3- COOdon
Rooms Baths Basement /✓ 9 Foundation Const- - nn.% en-, Chimney Fireplace
Full, part. none) (�,�-¢•-�,,,,�_ rnd) /jNu er
Heat. System 'l� Type of Roofing /2LCtX l Ext Finish /'2/7t #) Int Wall Finish
Use of Bldg. Gam,(%/ 9c E. A..JO r �i/��/i - No of Units _ Bedrdoms VZ��
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.
NORTH RESIDENTIAL - COMMERCIAL
aa3-c/W4 -C6 -4,6 -/0243,7
State License No.
SOUTH
Ind. I,ns. Acct. No.
02 7/ /
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
1.11 Plans Picked Up
Plans Mailed
ikljy certifl Xnformation submitted is correct and there are no other structures located on this property except
I he
as
El Owner or Agent Date
A LA US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 01,52)3 A/ EL / z n 'T)4'_ The zone is s
Sewage Permit Number Issued Building Permit,(. (�3. / Receipt( '7,e7 Issued
Remarks v l�'r
Form 523 Bldg. Code