1978, 05-03 Permit App: M6159 Garage•
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ye
79
APPLICATION FOR
LAND USE OR STRUCTURE PERMIT v
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 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 d 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.
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PPLICANT FILL IN BELOW THIS NE
Name of Owner
Architect
Engineer
Contractor
n
Legal Descrip ion of Property (Gscriotioh fro
a .3-,.2 '-1-/'m -�'/$ /$I)
Address
Address
Address
Address, //77 , -
deed,
deed, tax receipt, etc.) Parcel
Z.
11/
r, 1/7
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New 3 Addition
V i
Size of Lot Ist7
Stories Dimensions o? 4' X o
Rooms Baths -41Basement //¢ Foundation Const
(Fu I I, part, none
Heat. System /Y f Type of Roofing
Use of Bldg. ` t -
/f
t'>
Phone>;'.g/; A Iy
Phone
Phone
'et.'
'e .' Phone �"Z-?2
Number 7--7. /J -7627
Remodel Moving
Bldg. Zone / Fire Zon
Sewage System Const.
1 Fr.. Co
Total Sq. Ft. 5-76 Valuation ,/N
Chimney Fireplace .-4/A
^fy� ( i
K nd) (Number
Ext. inish--K-�� Int. Wall Finish J4'
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.
m
in
NORTH
SOUTH
I hereby tify information subtted
�G�
as shown.
Owner 6r Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOR
THIS IS NOT A PERMIT.
m
Stat License No.
SI NTIAL > COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
•
is corrend there are no other structures located on this
//,
DO NOT WRITE BELOW THIS LINE
property except'
CONSTRUCTION COMMENCES.
Tour street address will be y, L`n� e->t---� 6!
Sewage Permit Number Issued Building Permit
Remarks
e zone is
Receipt / i/7 Issued
Form 523 Bldg. Code
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