1977, 05-02 Permit App: M0932 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FE
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 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 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
*9W-16
Name of Oimer 1 1 1 _ Address c / G S .y' Phone / i 7709
Architect Address
Engineer Address
Contractor Address
Phone
Phone
Pppne
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel_Number a76Y 3 —
/ Iz 15
/70
DESCRIPTION OF WORK: New V Addition
Remodel Moving
Size of Lot 0 ^x t Z LJ Sews
Stories Dimensio s �`- Y Xf2-- 5
Rooms r Baths Basement Const
t�' ,, u I, part, none
Cat' ///'
Heat. System ya...cr _t2 Typo of Roofing Cat
Use of Bldg. /
Bid Zone —/ Fir- one .7
Sewage
CeriA.L •
System ponst. �'— `
��! Fr., C,nc., r., etc.) e. —
Total Sq Ft G Valuation '
Chimney)fi -4•--Fireplace �em,,.,
( ind) (Number
Ext Finish 17 -1) Int Wall Finish //VQJ -�'
No of Units. Bedrooms 1.1G+0,--L-
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.
NORTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
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 hisproperty except
as shown. -�((,,//
X/1/! . 7 ?
(*der or A nt Date !/
A LAND USE OR STRUCTU E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
i DO NOT WRITE BELOW THIS LINE
Your street address will CR 0 1 /' eels Y It G The zone is JJ"/��
Sewage Permit Number Issued Building itm[rfl 6 73 vReceipt 913 5/ Issued
Remarks
form 323 Bldg. Code