1976, 08-05 Permit App: L4989 GarageP,
•
County 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.
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.
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
224- �17ya
Name of Owner MCtA A A--
Tt m Address
Architect
Address
Engineer
Address
Contractor/ r _ _
/c> rr n Address
Legal Description of Property (Give complete dhscription from deed,
tax recei
k_ Phone -
- Phone �'
0_,V -S -s -a - ® 9/4)
DESCRIPTION OF WORK: New Addition — Remodel Moving Bid . Zone Fire Zone 3 -
Size of Lot �S �,/ Sewage System `• "T FFrnsConc tc.)
01
nO
Stories Dimensions �-� Total Sq. Ft. Valuation-
Rooms _/L BathsBasement Foundation Const.. C t Chimney Fireplace
�1 Full, part, nonei (Kind) (Number
Heat. System 4114 Type of Roofing Ext. Finish J Int. Wall Finish
Use of Bldg. No. of Units —Bedrooms
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.
A NORTH (RESIDENTIAL -COMMERCIAL State License No.
I SG W 1 Lc> r, C— R-1 I
70' SOUTH
Ind. Ins. Acct. No.
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. Z
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION O MENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be The zone is
Sewage Permit Number Issued Building P mit Receipt Issued
Remarks
c.,.,,, t)z ai.a„ r„aa
REQUIRED
�i
114j
Plumbing Permit
M
Heating Permit
a
i/1
Sewage Permit
�1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. Z
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION O MENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be The zone is
Sewage Permit Number Issued Building P mit Receipt Issued
Remarks
c.,.,,, t)z ai.a„ r„aa