1978, 03-20 Permit App: M5305 Garage0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /2
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 utter connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County 6igineer'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. There 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.
7720 6
APP ICANT FILL IN BELOW THIS LINE
Name of Owner ✓/ . ..../Address /- J 7 U � ' ' Phone P 6 3
Architect I Address /
Phone
Engineer Address Phone
Contractor / ---* Address 'C fie— Phone
Legal DeKcription of Prim compl a depeription from deed, to r eipt, et 1 rcellryumber d 935/1 - O 2--
4
4 oa2 -a-a a." --4,--c) >7 _
ROADWAY R/W WIDTN/
DESCRIPTION OF WORK: New . Addition r, Remodel Moving Bldg. Zone / Fire Z e
Size of Lot 7a x//J Sewage System (;"---Yr C//'7 Const. ti"'�.-.C..
I / �% /1 (Fr., Co c., Br., etc.) o 0
Stories Dimensions 42-0 X �� Total Sq. R. / Q V
_e_. -----
Valuation 3000
04-C Chimney Art Fireplace 4 °sir
u'
Rooms �_ Baths/Basement 4•147/4/2 -Foundation Const S
• / Fu 1, part. none'
Heat. System %v a/z/---- Type of Roofing C UJr��y� Ext Finish
Use of Bldg. f-"A-4,Q�/
a PLOT PLAN
(Kind)
rInt Wall Finish
Draw sketch with dimensions showing: (1) property lines; (2) str
proposed buildings; (4) distance to property lines and streets; (5)
tem and water supply lines.
NORTH
No of Units 26edr
eet or road locations; (3) location of existing and
dimensions of buildings; (6) location of sewage sys-
H
/5
76
SOUTH
State License No.
Ind. Ins. Acct. No.
�ESIDENTIA�I -COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Flans
Mailed �1
3/a��2 ? ode_
I h r bye rtfty information submitted is correct and there are no other structures located
as shown. ( c', < 4 —
on this property except
2a. 7e
Owner or Agent Date
'A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be , // 57 0G
Sewage Permit Number Issued Building Permit
21A
l-C-(eel The zone is el - "'T��
-
/ 510 Receipt 014/ Issued
Remarks
Form 543 Bldg. Code