1976, 07-01 Permit App: L4564 GarageCounty 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.
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 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 thestructure 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.
Name of Owner
Architect
Engineer
Contractor ,C (yam J
Legal •=scription of Property (Give co let de
APPLICANT FILL IN BELQW THIS LI E
J/%
2JcV 7? x%
Address �� fth*_ .1a, 4 Phone
Address Phone
Address Phone
Address
deed, to
DESCRIPTION OF WORK: New : //Addition !� Remodel
Size of Lot CPO k' i; 0
Stories / Dimensions
Rooms —� Baths
Heat. System
Use of Bldg.
c,244''
semens
part, non
Type of Roofin
1_9/ /
Moving Bldg. Zone —� Fire Z e, }
Sewage System 11/19f -Const.
.
r., C n Br- etc.) ay
Total Sq. Ft. 277 valuation .36 ONG
undation Constfln-c-zili— Chimney ( Fir place Num
Ext Fin/Jish /c/// Int Wall Finish
1i
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 RESIDENTIAL -COMMERCIAL
No of Units _Bed • •ms
-•
PRdwSEn
CcA R. -->1/40
/
3D
4
2 Q
N
v✓
k Lv
OUTH
hereby obrtfy infor t'., submitted correct and there are no other structures
41-#1
Otte or Agen
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
as sh k
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
located on this property except
DO NOT WRITE THIS LINE
Tour street address will be
Sewage Permit Number Issued
Remarks
The zone -is
Building Permits ' _ Receipt /742 5 sued
Form 523 Bldg. Code