1975, 11-26 permit App: L2180 GarageChitty Spokane,9 o
f Washg ton
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 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 99,,/_Q
/0905' Phone )V a _°�99d
Name of Owner (- : -'rit u i • �r� / GL"t Address
Architect Address Phone
PhoneEngineer Address
af-(tiu/ k /fnttAddress nQ 8Ox *Say DtAAw orS
7 4$2-
Contractor atiK 0
Legal escription f Property (Give complete description fro drd, tax r etc (
oQS-7f) 2 3 7 j . -a.uLo
DESCRIPTION OF WORK: New / Addition Remodel Moving BI Zone
Size of Lot / X / niP- a Sewage System Co(f5`f:
/ �/ (Fr., Conc
Stories Dimensions �r X ( Total Sq. FtValuation
Rooms Baths Basement ' A Foundation Const Chimney Fireplace
Full, part, none)n(Ki d)
) fi Type of RqQ fing l Ext. Finish Y Int. Wall Finish
Heat. System
Use of Bldg.
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 building (6 to at ion of sewag
tem and water supply lines. (.GL6Z / %/ s s-
%�%'
m
NORTH ( RESIDENTIAL — OMMERCIAL
30'
75'
Egorvi
SOUTH
State License No.
—o/ /d/d 7
Ind. Ins. Acct. No.
REQUIRE
Plumbing Permit
m Heating Permit
XP
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located
fe
as shown
Ow ' or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
on this
property
except
DO NOT WRITE BELOW THIS LINE
Your street address will be . 10 90 C �
The zone is
1/4
Sewage Permit Number_ Issued Building Permit Qom/ 'c) Receipt /Issued
Remarks
Form 523 Bldg. Code