1976, 03-01 Permit App: L2808 GarageCnfy of Spokane, Was ton
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI dP°
GENERAL REQUIREMENTS PERMIT FEI®
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
E�� �_ EL.
Name of Own ddress
one %2 -- 4/3
Architect v Address
Phone
Engineer Address Phone
Contractor Address
Phone
0-3-7Y—Y—
m. /.2 . 3 - & i %
egal D
on of
roperty (Give complete descrip on fr deed, tax receipt, etc
.0•111-f4t- i 140
DESCRIPTION OF WORK: New Addition X Remodel
Size of Lot
Stories ! Dimensions Total Sq. Ft
,tc /35'
/a/x SSI /
Moving Bldg
Sewage System
Rooms athB) Basement %}p�l Q, Foundation Const q
Fu I, part, none `"' Awix't-' Chimney (K nd) Fireplace
stem 1n 4
Heat. S ^ Finish ll (Nu
Y ► / - Type of Roofing l+.%t'7'Ll 1')Jl.�i . _.-___ Rim..,,.,, In
Use of Bldg.
/ Fire Zone
Const..—
(Fr., Conc Br., etch
Valuation CO
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.
No. of Units _ Bedrooms
SOUTH
I hereby ce . fy information stlpmitted is orrect and there are np other struc ur located on this property except
State License No.
11-uvti
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
HSewage Permit
Plans Received
as shown.
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent
te
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be�.
The zone is
Sewage Permit Number
Issued Building Permit a• 0 C( Receipt Issued
Remarks
Form 523 Bldg. Code