1977, 11-09 Permit App: M4098 Garage0
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County 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 arty
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.
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st WATER. Water supply must;be approved by the County and State Health Departments. Where work on water connections d15C rbs
the surface, shoulders or'ditches of County Roads, permission must be obtained from the County Engineer's Office. -�
fIEWAGE 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
_n
Name of Ovmer
Architect
Address Phone
Contractoesn
Engineer S
�_ Address�(n �7 !/1^zG [ Phone
Ol� Address/Az/4y c�t2x.,S�w>w9,{l^- Phone, 97, 4-.-2-2(4
Legal Description of P party Give complete escri tion from deed, tax receipt, etc.) Parcel Number " f$��i�-3 - �/ d
�. /� '.a` /-. Jnr _ .zS
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DESCRIPTION OF WORK: New ^ p" Addition Remodel - Moving Bldg. Zone / Fire Zone
Size of Lot /0 iC /%O i Sewage System "I//it Const. / • `i �--e_
(Fr., C c., Br., etc.) ni
Stories Dimensions .7 0 X 4L O - /y Total Sq Ft /2470 Valuation 71-16 - e—
Rooms I Baths Basement ,rift Foundation Const (4 diru i Chimney w/8 Fireplace �,7
WWI, part, none) // (Kind) (Number
Heat. System -"AI QType€of Roofing te�� Ext Finish --•er6- __ Int Wall Finish .4"4 -
Use of Bldg. Ct° t.o/C�-c,.e.� If-CeiC-3
No of Units .4_Bedrooms in,
`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 aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
•
State License No.
2230 / !',y;04/
Ind. Ins. Acct. No.
S5 6 2 38 - -A
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
tw Heating Permit
wSewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ify information sub tted is correcse nd there are no other structures located on this property excepS _
as shown. Jr/
) Owner or gent ' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT. - t
DO NOT WRITE iiELOW TNI, LINE
aSias The zone is
Your street address will be
Sewage Permit Number Issued Building Permit %i/1 Receipt/( Issued
Remarks
1
Form 523 Bldg. Code
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