1977, 11-09 Permit App: M4089 Garage0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE.' WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (/7a
GENERAL REQUIREMENTS PERMIT FEE 161 —
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
ki or alter any building or structure already erected, or to change a land use. Construction must conform with the
spo 'ane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WA R. Water supply must be approved by the County and State Health Departments. Where work on water connect loft disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Off
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.
APPLICANT FILL IN BEL
OW THIS LINE
,A• 0� li° c O
Name of Owne+- �' Lam-- - Address.., Z— Phone 7,2.Z• -- /12- 7
Architect Address Phone
Engineer Address "44 j 4.6 Phone
e....m: Address /My/ 9 .,,Ip ru_+-.• Phone fz' - Zz 7h
Contras • AL '� ``,,
Legal Description of Property.( ive complete descri, ion from deed, tax receipt, etc.) Parcel Numbh�7sVT-- 2 ZO V
J ..V e- /h i'tattA44_,1 c -c --t ,
DESCRIPTION OF WORK: New v Addition • Remodel Moving Bldg. Zone / Fire Zone
Sewage System 77/i CConst. yds
7'/ 7 1Fr., C ., Br., etc.) at
Stories _Dimensions or Y' X..]. Cry erne
� Total Sq Ft 7La Valuation 5f� 60'
Rooms Baths Basement Foundation Const ( a I •— Chimney Fireplace ��
Fu I, part, noneT w/ �> ( indl (Number
Heat. System /1/ )9- Type of Roofing Ext Finish Int Wall Finish -444
Use of Bldg. GtiLfrCe..4,..."..a t---w_..tirL No of Units Bedrooms /1/ AZ
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.
size of Lot 7 se )' 730 r
NORTH
State License No.
22-3 —0'-- day
Ind. Ins. Acct. No.
S5 B ziY
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
nr Heating Permit
Tx
• Sewage Permit
- s
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ertify information submittedis correct and there are no other structures located on this property except
as shown. /re/777
Owner or Agent
Datil
�A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BOLO
Your street address will be -E 30'0'7 re
Sewage Permit Number Issued Building Permit
Remarks
The zones
Receipt . Issued
2
Form 523 Bldg. Code
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