1977, 05-03 Permit App: M1039 Garage•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 D
APPLICATION FOR LAND USE OR STRUCTURE PERMIT "21-/-g-9--
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure -of an7
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 onwater 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.
ff,, 11 p �/ y� APPLICANT FILL IN BELOW THIS LINEr� �y�
Name of Owner J ist,Pli afte(J Address 2 % g V` R % enfezi ei/ Phone 79 rain
Architect Address Phone
Engineer - Address Phone
Contractor P/f ie.e.c:e ..w Address ///P/0)42%c_..--ia7 Phone %rie 4. y:i0'
Legal De cription of Pr party (Give complete description from deed, tax receipt, etc.) Par I Number i Z%%
y A - / t , Wfia, :,_ zt 6 ` � ,.tom aes-e..s. glac.L
DESCRIPTION OF WORK: New SC Addition Remodel Moving Bldg. Zone —/ Fire e
Size of Lot %0 X / 2 v Sewage System NAConst .%Ct v°L`4—
im., Conc., Br.. etc.h U
Stories / Dimensions 24X . Total Sq Ft /6 R Valuation ?ig RG
Roans / Baths A/A- BasementFoundation Const (1.4-744----1-6& Chimney /VA Fireplace A/ A
(Full, part, none....//(Kind) /,(Number
Heat. System� ,�/� Type�yjf{ Roofing —r- xt. Finish -7��a A/L--0- Int Wall Finish /1/A
Use ofe Bldg. ^1-rester--ctgf /VA-COt-e? . D %.I` 4AQ No of Units Bedrooms
d
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.
MAVw ESL•.
NOR -T H
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PRDPOaeO
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SOUTH
ESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
ti t ,4.0 — 7
Owner or Agent v c Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S HOT A PERMIT.
as shown
DO NOT WRITE BELOW THIS LINE
Tour street address will be 7 7 aO (f.,/,tz*.e JZ- The zone Is aknf-i-CA/iA.Lli--L
Sewage Permit Number Issued Building Permit'ry,/)'{ 'j Receipt 9066 Issued
Remarks
Form 523 Bldg. Code