1978, 07-28 Permit App: M7397 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 3/
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 tie 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 BEL•W THIS LINE (�
01,4
Name of Owner% - Address a I Phone
Architect - / Address Z Phone
Engineer Address Phone
Contractor SMWE Address Phone
Legal escription of Property (Give completa,4escriptibn froit taw receM, etc.) Parcel Number w-dizi _ /6c7a
ROADWAY R/W WIDlI�
DESCRIPTION OF OBK: New Addition
9C2 t1344thi /PO /
Size of Lot
Remodel
Moving Bldg. Z n / Fire
Sewage System / r /7 Const..
Fr., C
Sq Ft Yr G X valuation Spot "Ix'
Chimney /�/1`J• Fireplace NA
(kind) (Number
Int Wall Finish DR'YI.A/ALL_
No of Units _Bedrooms Mit
-
Stories_i_Dimensions fa Total
Rooms .L_ Baths Basement No... . Foundation Const CAP(Cge-Te
Fu I, part, none)
Heat. System NR Type of Roofing l' (1NAP O5ITlOp/Ext Finish 7—ill
c., Br.. etc
Use of Bldg. 6ARAGE — 01 ffl—TiC I>~D - Pr.„1 4- t
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
LEISIORA- PRIDE -
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sSDENC6
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PIUWasED
4PIRME_
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SOUTH
I hereby certify information submitted is correct and there are no other stru
as shown. de4�
or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
State Ltcense No.
OwN
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ctures located on this property except
DO NOT WRITE BELOW THIS LINE
L4L�/ 28,,/c7P
Date
CONSTRUCTION COMMENCES.
Tour street address will be AP/0 057, -9z6- - .) �IJ•
Sewage Permit Number Issued Building Permit
Remarks
The zone is MiStaAL11.1KALr akS
Receipt SD 3) Issued
Form 523 Bldg. Code