1976, 04-23 Permit App: L3521 Garagee ®®o
ctnty of Spokane, Wasftgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992011
APPLICATION FOR LAND USE OR STRUCTURE PER /
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty 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. -
MIT 3 °r
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 N. 45-133 and 47235.
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 thestructure 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 �
L��Li/ 1� •Address .�0/:5 .�rd- Phone, -*1.6 $_// d
Architect Address Phone
Engineer Address Phone
Contractor _ Address �eP�hone
Legs Description of P pe ive completed cripti n from deed, tax rete pL e c . to 2 %943 / 2 /0
•
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot// p U / 3'6/
y
Stories_.ZDimensions 0
Rooms 7 Baths / V (� Basement .11-7n1-4,5 OUodatlOn Const
Movin Bld
agS l
4/A Full, part, nov
Heat. System Type ofRoofing Ext
Use of Bldg. W
Total Sq Ft
Chimney
Kind)
Fire Zon '
Const.
(Fr., Co h., Br., etc.)
Valuatigrc?,0c1/4
p�
Fireplace( umber
Finish Int Wall Finish
2V
/.114 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.
NORTH
RESIDENTIAL JCOMMERCIAL
e- 2r-'
SOUTH 30
I hereby certify informations witted is correct and
as shown. X
State Licensq No.
Ind. Ins. Acct. No.
REQUIRED pp
Plumbing Permit2�`-`_
m Heating Permit
NSewage Permit
-I
AQ Plans Received
w Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed'
there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address w111 be
Sewage Permit Number
Remarks -
DO NOT WRITE BELOW THIS LINE
3o/s
Issued
The zone
Building Permit -I( . , f Receipt
• S--Issu
4
-.1.41.e
)
Form 523 Bldg. Code