1978, 05-22 Permit App: M6381 Addition Garage0 0
Ceunty of Spokane. Washington
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. (later 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 LI
Name of Owner Address A0 Q Phone
Architect Address Phone
Engineer Address Phone
�f Qa Q phone
Contractor Address i%r °,�-,r�:.0 o�
Descr'ption of Property (Give c late description from deed, tax receipt, etc.) Parcel Number 44
_ _
DESCRIPTION OF WORK: New
Size of Lot
Addition Remodel
Stories Dimensions
Rooms BathsBasement Foundation Const.
Fu I, part, noneT —
Heat. System Type of Roofing Ext. Finish
Use of Bldg. /,-Y- ./ /, J i -—C4"aA�, Q _ _ _ _
Moving Bldg. Zone t Fire ?,,one
_ Sewage System FFr.sCon Br., c.)
►
Total Sq. Ft. '� Valuation
ChimneyFireplace
(Kind) (Number
Int. Wall Finish
No. of Units _Bedrooms
0
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 e,d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
N
Iheeb
as shown.
NORTH
/37z
SOUTH' 7yIdAl-9
fyformation suhmis g¢lrect and there are
tate License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
e+ Heating Permit
HSewage Permit
Plans Received '
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
S.22 78
ier structures located on is property except
/ \ c/ I r U
per or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be a The zone
Sewage Permit Number Issued Building Perm i16' Receipt
Remarks+—
Form 523 Bldg. Code