1976, 04-19 Permit App: L3478 Garage i •
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Citify of Spokane, WaslSgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f Q/. -
GENERAL REQUIREMENTS PERMIT FEE.__/if
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 5.
SET-BACK FROM PROPERTY LINE Post-It'brand fax transmittal memo 7671 #of pages ► ( the front property line, of at
least 25' is required, a 5' r yard are required.
STATE HIGHWAYS. Where the s1 To S7.474 p6T From C�n G // Lining to set-back and ingress
and egress. Co. Co.GOOF(' I i34DGS
COUNTY ROADS. Work on stre ,d Department and work must be
performed in accordance wit Dept. Phone# Y'`�('9^ 367s County Engineer.
MOVING OF BUILDINGS. A pE Fax# 4011 _ 2 -7, Fax# ( is moved on a County or State
Highway, clearance must be c� int.
ACCESSORY BUILDINGS. Access
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 L E
_ �";;2d2— -),59G
Name of Owner L4_ ! c_ -. . a. f Address A. Phone
Architect l Address Phone
Engineer Address Phone
Contractor )l.1-111-( Address Phone
Legal Description f Pro ert (Give m lete de ri tion fr deed, tax rete t, etc.) ,.i .. _/Or r°. - —
g X2 r� 14'... ,i P /d , / r/1/,)� - 43'71 de' J, A)
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg.nnZo�ef 1 Fire Z�o-nne
Size of Lot ,2 ")— X 1J ` Sewage System ////- consConc., Br.*et 1( 0_,e1-
Stories
,Stories_Dimension /6 x T.tal Sq. Ft. '5/ ' Valuation # l�614/
Rooms / Baths e. Basement (2 4 Foundation Const. (7.9 -7.4".' Chimney Fireplace 111
r. Fu 1, part, none) /'tl, � ( ind r 9(Number
Heat. System �`/ Type of Roofing 1 40 Ext. Finish (/v6 Int. Wall Finish Pi"-
/
AM Use of Bldg. 1/lo�(.e � / P .' No. of Units_Bedrooms A�/'
(� 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.
NORTH RESIDENTIAL\COMMERCIAL State License No.
Ind. Ins. Acct. No.
Ic
X(.._ i it REQUIRED
'
Plumbing Permit--
Heating Permit
m
N H Sewage Permit
-I —1
3-.-' Plans Received
/s r, > !V / Plans Checked
Plans Returned
aitrie. < Plans Picked Up
•
Tr Plans Mailed
SOUTH
I hereby certif nformation submitted is correct and there are no other structures located on this property except
as sh n. �
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRI E BELOW THIS LINE
±:iszti_L___.
Your street address will be The zone is
Sewage Permit Number Issued . , Building Perm - Y 7 Receipt a' -S sued
Remarks
Form 523 Bldg. Code