1976, 02-25 Permit App: L2759 GarageCanty Spokane: of S okaneWase9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE/a2-f,
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.
PPLICANT FILL IN BELW THIS LI
Name of Owne JJ. i. !. Addres
Architect Address
Engineer Address
Contractor Address
Address
Legales tion of Property,(Give complete descri
7�F�
loes
om deed, tax rec�jpt, etc 1
/_s -o �_SJ" o? 1?i
DESCRIPTION OP WORK: New
Size of Lot
Addition Remodel
hone
'Phone
Phone
Phone
/ 9 s- / - 0 q/
Stories _L_Dimensions /6 ,t ai./
Rooms Baths — Basement 2igq+QJ
Fu 1, part, none'
Heat. System Type of Roofing
Use of Bldg.
J�2�c ca'C�°q
Moving Idg. Zone)� Fire Zone
Sewage System,/Xe7Z.4/ Const.
(Fr., Cgfjrb��rBr., etc.)
Total Sq. Ft v-3- Valuatior(;J(%L0-
Foundation Const I�JQ��� Chimne Fireplace /u1-/
(Number
• Int. Wall Finish
No. of Units _ Bedrooms
/so19 G
Ext. •nis
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines;
proposed buildings; (4) distance to property lines and stre
tem and water supply lines.
(2) street or road locations; (3) location of existing and
) dimensions of buildings; (6) location of sewage sys-
COMMERCIAL
I her
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 'C4
by certify information submitted is correct and there are no other structures located on this property except
Owner or Agen Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be.. ---'9,2/6
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
�2st,QP�� ,/''20/ The zone is'TA /
Building Permirt.('Z75 9 Receipt/5n/ Issued
Form 523 Bldg. Code
4