1976, 02-26 Permit App: L2779 Garage-
C my of Washtgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 •
APPLICATION FOR LAND USE OR STRUCTURE PERMIT y f�
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or;st'ructure 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 onwate connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the CountyeEngineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 4T.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 "Yarn 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«-
one7z- 4-7—
Name of OwnerOfLYt , • -Y.---, -✓ Address
Architect Address Phone
Engineer _ /� Address Phone
Contractor Address .S -.. P��—O 3
Leg es iption of operty :2 IF pletedescriptio% from,Qeed, tax receipts etc 1 1 .J
1 �"F! C" descriptio
fro) cl eed,, isms Z' —�i.��
DESCRIPTION OF W K: New Addition 'r Remodel Moving
Size of Lot 3.e2. -t-'/ 3 s Sewage System eefryst.
// Fr.,l Coonrc.. Br., etc.)
Stories / Dimensions C'" A P" % /7� Total Sq Ft '' aalluatt6n '��e'.
Rooms / Baths JrBasement '72d" Foundation Const C_-- '-,-"'C Chimney Fireplace A h
/� ull, part, none) ] )Kind) (Number
Heat. Systerq/w Type of Roofing Ext. Finish
_ 'l �e0 Int Wall Finish � A
Use of Bldg. 0 -- c.�a---/��2n No of Units _ Bedrooms N 1''
4 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.
42
Bldg. Zone / Fire Zone
NORTH
COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ft A-
rw Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby,gertit'y jsf ion submitted is correct and there are no other structures located on this property except
as shown. X //lll) a - .& G — Ye(
Owner 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 T14$ LINE
Your street address will be 30/ / ? 72r- e The zone
Sewage Permit Number Issued Building Permit 42779 \ Receipt
Remarks
1
� �i sage 7
Form 523 alda. Code