1978, 08-04 Permit App: N0005 Garage0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE TD0Ti�
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.
MATER. 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'ctrcumstances, 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 114 BELOW THIS LINEA/ nerns ORCtiAKns 9702.7
Name of Owner '13F NIGP, T) STO CK Address v/#s/4' cQAC Phone q Z?- SVzP
Architect Address Phone
Engineer Address Phone
Contractor BERN/CF, D tTOCK Address F. /857y 6MCF_ Phone 978-.s-9
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number t 7ss-I-- OS -DS
L -o -r C , B/-OCk S oF- I2IUFILU1EW MOBILE- WIMPS ,SIue,DIVI.5/vt4
ROADWAY R/W WIDTH St'
DESCRIPTION OF WORK: New Addition
r
Size of Let hCP• l cl o' x / 1 as
Stories 1 Dimensions 711X 30
Rooms Baths r(FuIIBparrt none) A
Heat. System TVA- Type of Roofing AA ETAL-. Ext Finish
Use of Bldg. &APTfGW-- Or.--7AciW—PKtvA-TF
Remodel Moving Bldg. Zone / Fire Zone -R
SewageSystem C E�
Y WA- (Fr.. Conc., Br., etcda
Total Sq Ft ''72-0 valuation 3(ooO-'
Foundation Const CANCe..�TE, Chimney )�SI�Pr Fireplace nth
(l(ind) (Number
NONt
M Int Wall Finish
No of Units... -Bedrooms N$'
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
-I
y
NORTH
I hereby c
as shown
4RPcr. DRIVE
30'
Aft
O
rr
I s Lets' e/<
120' P/L
SOUTH
fy 1l4iormat o ,subm ited is correct and there
Owner or Agent
State License No.
0WNlK
Ind. Ins. Acct. No.
- COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
N Sewage Permit
Plans Received A'
Plans Checked ICE 4 a k. FL/04 S'
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
4u j/RiT
Date
A LAND USE OR STRUCTURE PERMIT MUST BE 014 THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be E. I357 RyISAC
Building Permit / Receipt -Issued
Remarks O • g W
pa�
The zone is KFS M6BI'- IA
Sewage Permit Number
Issued
Form 523 Bldg. Code