1976, 09-13 Permit App: L5382 Garage4P 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ----iruc
....
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or ure of a"
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.
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
C0_-— rf
Address - /
4 Phone
Architect
Address
Phone
Engineer
Address
Phone
Contractor L <Iyn
Address
Phone
Le al Description of Propert (Give c mplete de cription/frorn dee , tax receipt, etc.)
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73
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DESCRIPTION OF WORK: New Addition Remodel Moving
Size of Lot 1 9 ti - / �� —1 a� Gs� / Sewage System
Stories
Rooms
Dimensions /,1 �X;- .1 <Z�
BathsBasement Foundation Const,
Full, part, nonT—
Heat. System Type of,Roofing
Use of Bldg.
Ext. Finish
Total Sq
Bldg. Zone Fire Zone
onst. 1 -/- CC
For., Conc., Br., etc.)
Ft. `3 7 Valuation 'R 2 O
ChimneyFireplace
(Kind) (Number
Int. Wall Finish
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water sunnly lines.
in
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NORTH RESIDENTIAL — COMMERCIAL
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I hereby certify information submitted is correct and there are no other s
as shown. I ri 'N
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
located on this property except '
Owder or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
r,
Your street address will be The zone is
Sewage Permit Number Issued ; uilding Pe itI ceipt Q0� Issued _
Remarks
Fn A93 Rldl f -M.