1977, 03-10 Permit App: L7361 Garagecity of Spokane, 10klasilligfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FE
"UNIT REQUIRED.land use or
ors structure alreadyrmit serected, oruired y touchangeResolution
land use.erect
Constructionnmust conformstructure
with the
kindpor alter
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water shoulders be
County Roads, permissionand State ealth must bepobtained froomre theork on Countyater Engineer's Office. the surface,
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.23 rt line, of at
SEastACK SisM redaINES. Ie yszones' side yardrfromtacflankingnstreet,sandback 25' rearthe
yard arep1eequired.
least 25' is required, a 5'side yard,
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
performed
COUNTY dOinSaccordancestreet
stakes.oPointsmof y ingressperformed
egressnmustsbestaked
approved byCounty
theRoad
Countyrtmet andEngineer. work must be
ng uilding is
HOgIwa OncNmustAbepermit
obtainedrequired
thetCounty Engineerland/orlState HighwaybDepartment moved on a County or State
Highway, clearae
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
whichIarVenforceable Builders CountysOfficialsf ocanants or not bringdactionntoand enforcements ccovveenantsing with the land
or dedications.
which arei!' �' rgr�,
APPLICANT FILL IN BELOW THIS LINE
1'A6,�� i �� Phone
Address
Address Phone
Address
Phone
Address
Name of Owner
Architect
Engineer
Contractor
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
5
Phone
DESCRIPTION OF WORK:Addition Remodel Moving
Size of Lot L¢�t/ X ' S r Sewage Sys
Sq. F
a Total t.
Stories / ,/¢
r )(al
Dimon s ,` Chimne )
Rooms I Bath . t)_ part,sementno�Foundation Const..�Z•JTr"�" md)
Fu 1, ' ^ Z T '�
Type of Roofing rfV%- Ext. Finish At Int. Wall Finish
Heat. System e�
No. of Units _Bedrooms
BId
Fire Z
Const.
Fr., Conc., :r., etc.)
Val-uation
�-Fireplace,,
Use of Bldg.
PLOT PLAN
Draw sketchils with (4)mdistancestowproperty linesrty andlines; (2) streets; (5)reet or road dimensions of buildings;(3) (6)ll cation ofn of esewagegand
sys-
proposed buildings;
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
c5J2.,e„ aA4
p20,1 ?itt4A
/14411-ij%QV,
REQUIRED
Plumbing Permit "6-0C__
in Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information s bmitted is correct and there are no other structures located n th' property except
aslyglln. 3 % 77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Owner or Agent
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks -„
Building Permit 0 73I ,t(eceipt IIl¢ Issued
tiA
The zone is
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