1978, 04-13 Permit App: M5774 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 '
1,1
, APPLICATION FOR LAND USE OR STRUCTURE PERMIT C/00GENERAL 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 ooyster 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 47235,_ .
SET -BACK PROMIPROPERTY 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'stfeet, and`a•25'-rear-yard-,arerequired.
STATE HIGHWAYS. Where thestructure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress. U
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 OP 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 9942c'
Name of Owner Zd—r--r j2 t 1 t: _'t i nY Address29747./ £t
Architect Address
Engineer
Contractor
Phone
Phone
Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number O 7. cq,e- / t'D /
yasz-01741-41
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New Addition 1( Remodel
Size of Lot /,c t,LA' /.S O
Stories 7_ Dimensions 411 X SO,
Moving Bldg. Zone
Rooms / Baths /t asement .4/, Foundation Const
(Full, part. nonel
Heat. System
Use of Bldg.
Type of Roofing
GP
Sewage System„
4�/q�*+
Total Sq Ft A 0(
af9iee-7-i
Chimney
( nd)
Ext. Finish —/ / Int Wall Fin
No of Units
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 tater supply lines.
` Fire Zone 3
onst. a�n-Q
/Fr.. C Br., etc.)
Valu on 000 GO
Fireplace
%f N er
sh
_Bedrooms
1
State License No.
g-G-GSL—it_�i
Ind. Ins. Acct. No;
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ce fy infor tion suub�jltttedd is correct and there are no other structures located on this property except
as shown. / f7J frri 3/',r
fi Owner or Agent Da e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Iour street address will be
Sewage Permit umber
Reiser
DO NOT WRITE BELOW THIS LINE
< /7/ q 4Z-4[-644. 1/414-{J The zone is "en
Building Permit _5'7'14 Receipt /4,5-7 Issggd
moa¢
Form 523 Bldg. Code