1975, 04-29 Permit App: K7390 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 2'1
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 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 " " —Address 29,( v 29�. I Phone
Architect Address Phone
Engineer Address Phone
Contractor Address Phone `
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire one -:5_
Size of Lot 119A 1 ' , Sewage Systemonst. a' `'L-
FFr., Conc., Br., etc 1,
i � V1
Stories LDimensions `iX iC' Total Sq. Ft.
�' Valuation—
Rooms _� Baths Basement Foundation Const.. Chimney Fireplace
Full, part, none— (Kind) (Number
Heat. System Ta of Roofing r +� Ext. Finish T-%// Int. Wall Finish
Use of Bldg. t (1 �YYW.�LCl2 f if ,(-t No. of Units —Bedrooms
C 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 a,d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. y
NORTH RESIDENTIAL - COMMERCIAL
�I
State License No.
Ind. Ins. Acct. No-
(4
REQUIRED
Plumbing Permit
III
Heating Permit
rye
Sewage Permit
isr?NZr
23r
2
rAD"VA,+
Plans Checked
PR o PVS,E4D
:
Cr A, RA r
:i 9
i
i
�I
State License No.
Ind. Ins. Acct. No-
(4
REQUIRED
Plumbing Permit
III
Heating Permit
30
In
Sewage Permit
2
Plans Received
Plans Checked
N�
Z
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her certify formation submitted is correct and there are no other structures located on this property except
as shown: ����) �
Owner 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
Your street address will be /�5 The zone is. ,�- � 2k9,J
Sewage Permit Number IsO_d Building Permit Receipt 741 r Issued
Remarks __ %� A-'�.c V.
Form 523 Bldo. Cade