1978, 08-14 Permit App: N0126 GarageCounty of Spokane,. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ..... _2.
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 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 c?C...21!7
Name of Owner 4- 0015 C,Ccx Address /C/CaO ///Tfn /r✓ cgot Phone - 93
t'
Architect Address Phone
Engineer Address Phone
Contractor
Contractor /t@5 PE/t i/ ,Cf im -FRS Address ,LL / C/S f Z tax/»if/-,✓ S '� Phone
Legal Description of P o ert (Give complete descript on from deed, tax receipt, etc.) Parcel Number 99a/r
G o r • / Y'- &ort- S 115'aQ }d /?tod. & 64,4-9.5
0
R DESCRfPTFORIVIWORK New Addition
Size of Lot 7SX //S
Stories Dimensions 11
Rooms I Baths Basement Foundation Const � "�Cat/(- Chimney ti» Fireplace ''��
Fu 1, part, nonce- / / ,J/(Number
Heat, System A/A Type of Roofing /21 -44 -4. -Ext Finish r Int Wall Finish 014,651 -c -
Remodel Moving Bldg. Zone Fire Zone .�
Sewage System ,VI9 Const. "��
/q ,/v J� (Fr., Conc., Br., etc.)
g Total Sq Ft 29 2— Valuation'5;12 ° n
Use of Bldg. e,4 -,?14 C f- - OE-rPc,N-Fp-- No of Units _Bedrooms 4/R'
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.
H
,NORTH /ifa,/ct/A Sr
J-•
SOUTH
75iP/L
EXISTIN6 i•
56
I�
6
2D
State License No.
Ind. Ins. Acct. No.
- COMMERCIAL
REQUIRED
/ 0 Plumbing Permit
tw /'> Heating Permit
aSewage Permit
Plans Received
Plans Checked
/a Plans Returned
Plans Picked Up
Plans Mailed
II et in
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
ner or Agent Daie
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE 2,6
Tour street address will be >= /t2.0 MAR Lml D 'IOF_ •
Sevage Permit Number Issued Building Permit)
Remarks
I
The zone is RI✓5IDFNT?AL /l )L.
Receipt 53S/ Issued HOMES
Form 523 Bldg. Code