1978, 04-05 Permit App: M5608 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 mast 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 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
Name of Owner Address
Phone 9626 —.26 83
Architect Address , /� Phone
Engineer Address 1Z/ Phone
Contractor Address f19 r '
tion from deed, tax rec ipt, qtc.) Parcel Nummb r 6 ?s -d-,1 V ` G /AS"
J) U 4v / S' 0 ` r�
7,28-.2.7 % ‘
Lggal Description of Property (give complete descri
ROADWAY �t�(P1 fAYION
D R OF WORK: New Addition Remodel
Size of Lot %%Q •X f J
Stories i Dimensions /t 4Z 42 41
Rooms ` Baths 1 Basement Foundation Const
(Full, part, none
/Type of Roofing Ext. Finish
Heat. System ../1/
Use of Bldg. -0 ,ek.>
Moving
Sewage System
Total Sq.
Bldg. Zone / Fire Z
Const
(Fr., Cgfic./Br., etc.) s1
Ft ‘5._-���--Valuation a -
himney." Fireplace • '
(Kind) (f�mber
Int. Wall Finish
No. of Units _Bedrooms
(,d 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
as sh
SOUTH
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a
I here rtify information submitt d is correct there are no other
''�•r L, -€-
OwnerOwner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(9l/-744
COMMERCIAL
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
'/ S7fl 44L
structure ted on this property except
Yqur street address will be
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Sewage Permit Number Issued Building Permit
Remarks
zone is
Receipt
Form 523 Bldg. Code
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