1974, 04-29 Permit App: K4390 Garage• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /6
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a,building or structure of aay
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 and47.235.
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.
APPLICANT FILL IN BELOW THIS LINE
a�79;:z e
Name of Owner (j -L A) Addressi7 / U /. .Ib.I'L2 tf_il.
Architect Address
Engineer����� �" ail
Address
Contractor iitt1)•tf 51-444-tc4CttC`) uytof 0 .I4,_Address-gape,w
Legal Description of Property (Give complete description from deed, tax receipt etc )
b' w� ex a • S /76" v- ,EX C 4/, 73' 8/-1C /S$
Phone 9=2-6- 7d 7
Phone
rp_ Phone
/. /awl/
ii94/L. Phone 9rn-;19A1V
.61 /7.54a.ny„
Pe AP 7' ge
DESCRIPTION OF WORK: Newt_ AdditionRemodel
Size of Lot +10X riAd /1502
Stories Dimensions �--iLX "Rd
Rooms __ Baths Basement Foundation Const.
Full, part, none.
Heat. System Type of Roofing
r�14-44_4gr.a1'
PLOT PLAN
lot
Moving Bldg. Zone / Fire Zone
Sewage System Const. \r '✓tli Q'
Fr., Conc., Br., etc.ld o
•,/ Total Sq Ft 7 40 Valuation UC) --
Po -6 �eC[aC.t-tJ Chimney (Kind) FireplaceNumber
Ext Finish 111,192// .1 1 Int Wall Finish
Use of Bldg.
No of Units _Bedrooms
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
/SO
SOUTH
I her Zi, certify [formation submitted is correc
as shown
Own "!.T7 Agent
A LA ' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
and there
State License No.
C)K -OAl/ F/Le
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
9-7
Date
CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Permit Number Issued
Remarks
/o/,P
Building Permit
The zone in<04-LC1(M2.;(0 34tc-1..r
ReceiptS8L�' Issued
Form 523 Bldg. Code