1978, 08-03 Permit App: N0027 Garage• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.____62..' 00
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.
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 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 _
Name of Owner !� �-�-�•C�r "s' Address
Architect Address
Engineer Address
Contractor orz..4.04.7 r ' Address /r7/7
Legal Desc tion of Property (Give complete description rom eed, tax receipt. etc.) Parc
/day° 4/4/ -CS /i9 - X02 a tc-, o1' i9
DESCRIPTION OF WORK: New
Size of Lot ea (e) X '5/6
Storiesy
DimensionsRooms Baths 'r.L,i= Basement
1, part, none
Type Roofing....:i.2.
Addition
Remodel
Phone / - 47/
Phone
Phone
,_,
� 27c
Phone Apy'
Moving Bldg. Zone 1 Fire
Sewage System Cons
(Fr., ►•.nc r., etc.), cro
Tot:I Sq Ft / Val ation%a S,�g/- ""
Chimney Fireplace �
(Kind)/umber
Int. Wall Finish ./�`
No. of Units,.Bedrooms
Heat. System
Use of Bldg.
Foundation Const
Ext. F nish
PX LATE.
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
m
iA
SOUTH
I herebytify information sub6iictted is co
as shown
and there are no
Stat License No.
Lr
Ind. I n . Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
in
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
otherru tures
.---'
Owner or Agent ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
located on this propertyexcept
7
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
6z5- N FLoi.
Issued Building Perm
Alm e6).A. MEA AL.. WE- 11, -rTh S 2,01J =
The zone is A iCtli--TOTAL
Receipt . a_7_ Issued
Form 523 Bldg. Code
3q5'
•'J 1"J
210 �
31/'
L ,.
/62,5
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