1978, 04-21 Permit App: M5905 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201f
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 sny
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.
NATER. 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.
oZI
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 _ erceAX- en rCP Address
Architect Address
Engineer�jL�� Address
Contractor 's7 ti1.t Address
Lee 1 Description of Property (Give complete descri ion from deed. to re
iovy „at
r
, (•rj, -27e
ROADWAY R/W WIH
DESCRIPT NOF WORK: New v Addition Remodel
Size of Lot4 `l ', W X a83
Stories i Dimensions .2 X 3 6
Rooms __L_N Baths Basement Foundation Const
• Fu(I, part. none �_--}}--� pp
/V .� Type of Roofing /_/2C�— Ext Finish
C vra<rt•re
Phone5t2y— 6tS>9
Phone
Phone qq
Cm . Phone XV --1224
t. etc.) Parcel Number 07.SS 3 -OSI
Moving
Bldg. Zone Fire Z
Sewage System CFr.. ti
Cy% Er., etc.)
Total Sq Ft /3 6 (Valuatiiorr
Fireplace
( Number
Heat. System
Use of Bldg.
PLOT PLAN
Chimney it
nd) /�
Int Wall Finish 4'jT
No of Units _LBedrooms
7
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
dem and water supply lines.
N
N
0
NORTH
SOUTH
yinformation subm ted is cor�rreecckyy{m there are no other ?tures locaated on this pro/perrtt`y'7except
as shown.f >.t�, Jr- `-� [/'r-�//
Owner oor gent (� ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
State License No.
7
Ind Inc. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1/02 ij,r i
I hereby
DO NOT WRITE BELOW THIS LINE
/1147/1 t b '
11
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Tour street address will be / 7 ac (j ' j;
Sewage Permit Number Issued
Remarks
Buil j ng Permit
e zone is
Receipt /(E(/' ,sued
Form 523 Bldg. Code
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