1978, 08-03 Permit App: M7472 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT oc
GENERAL REQUIREMENTS PERMIT FEE Zig.
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 filth 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 47235.
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 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
Name of Owner- ��l- - _ '. .. Address - 5- - Phone f --1P-49. C
Architect i 0 Address Phone
Engineer Address t� /7.,A1 Phone 7
Contractor �6/l,r —1/214,-.X-1 /JJ�e/°/� • Address /41%/ �O aC...�MY• Phone 2- �/ ,b
Le aj, Description of Property (Give plate deacriptlbn from dept• dot receipt. etc.) Parcel Number
d feria - 0 y/�
�1,�1L / .." "rl r..a 4 GC.dc .t
DESCRIPTION OF W RK: New /� Addition Remodel Moving Bldg. Zone / Fire Z e
Size of Lot X inb 9 y2 / Sewage System Const
Stories Dimensions..) fr
Total Sq Ft _L'fc0_`_Yaluation ' �� '
Rowes / Baths%' f7 Basement Foundation Const himnay /f�/ Fireplace
Full, Part, none Q P (Kind) A/
Heat. System T pe of Roofing
- __ Finish n
Use of Bldg. G .< r file, 91
- fg,11 -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.
No of Units,L.Bedrooms
NORTH
SOUTH
Stat el License No.
Ind Inc. Acct. No.
E ENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby Leftify information submdmjt`ted is corre nd there are no other struuuures located on
this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown
DO NOT WRITE BELOW THIS LINE
Iour street address will be I_./. 7 S' MAN W7Le zone is L�Lm
IUL1('.Pi-r
Alien-
tlB
Sewage Permit Number Issued Building Permit !r -i 7 - Receipt 3137" Issued
Remarks Mi COMMV,CCL4L U rp m -'/I1! Mt Zowr
Form 523 Bldg. Code
•
75\I 5 7> 4..2-t-f,vc J :;