1976, 05-28 Permit App: L4068 GarageChnfy of Spokane, Was gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 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.
APPLICANT FILL IN BELOW THIS LINE j? r
.�h _ > o/�
Name of Owner l /l Address D Phone q -��'
Architect Address Phone
Engineer yQ Address Phone
Contractor szC►,4Lt,zf_4Z , Address
Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
D/
7
pr . Lor4 (3L -K (,, — 6S./9' I d l►�..�� ' ,Ex C, 6' . 7
DESCRIPTION OF WORK: New Addition X Remodel Moving
Size of Lot / a/C- -e "Z/ l2-" Sewage System
i �/
Stories / Dimensions - �' 1 9X / Total Sq
Rooms Baths Al Basement /V 4 Foundation Const ifd G(�,rt4V,
1FulI, part, nonei p
Heat. System A Type of oofing e.,,,..40„...- Ext. Finish 2 4a(/1 --
Use of Bldg. L
Af. Q d 41
Bldg. Zone —1 Fire one -3
A CFrnsConc.�B tc.) (J
. Ft 8 8 g Valuation 01° G)
�—
Chimney A/4
Fireplace NA
(Kind) (Number
Int. Wall Finish
/VA -
g � D n( Q� �a� a i'LC _16-- � No. of Units _ Bedrooms
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.
RESIDENTIAL - COMMERCIAL
NORTH
*44
2
x
ittio
I h eby c
as shown.
SOUTH
it ted is co re
l�CX/
Owner or Agent
A LAND USE OR STRUCTURE PER
THIS IS NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
Date
IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be „, (4_741 The zone is.liCt.4[Cf441-111_
Sewage Permit Number Issued Building Permi )d'W Y Receipt 079-S—Issued
Remarks , Vii. d/t 0
C___ en,