1977, 07-22 Permit App: M2511 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 992
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.
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 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.
M1JYa+/�t-^'fin APPLICANT FILL IN BELOW THIS LINE
Name of Owner 4_�ii�.G'� ��� r•(y+� atiss agely y /tr t'et4- Phone
Architect t' ST' LI P f. -c-.- Address eaa /o Ver -est - Phone p.,54_,....7.. Q
Engineer - Address Phone
Contractor �x � !$, r+GNirp r -t CAddress .t �'/n J4./4- I v r d Co Phone 92/ -oz.-zit(
LegalDescription of Property (Give complete description from deed. tax receipt, etc.) Parcel Number O7-��<L O iren
5( z_ .44 a ✓e s res- (44-F.d e-rv5 'tt .r
DESCRIPTION OF WORK: New 54 Addition Remodel Moving Btlig. Zone / Fire , e
Size of Lot / 3 $ 1C / '.;i5 ` Sewage System ti") CConst.
Con Con- Br., etc_
Stories ILDimensions Zo SC I7L-0 f� Total Sq Ft) a.b b Valuation
Rooms BathsBasement Foundation Const (-e"1 sr' - A g.tj' Chimney Firep ace
--(WA 1, part, none) \ --qp/�� (Kind) (Number
Ext. Finish M nX o.(/ Int Wall Finish -/e!'J'•"."�
Heat. System Type of Roo ing
Use of Bldg. A 0-.,.p
his}.
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.
No of Units—Bedrooms
SOUTH ti
State License No.
YId. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I he eby certify information submitted is correct and there are no other structures
show
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
located on
/ Z -
t property except
DO NOT WRITE BELOW THIS LINE
lir street address will be g
eewage7r[l\it • •er
Remarks
(The zone
Issued uilding Permit Receipt
(fejt 1/ ��asued r
aletS
Form 523 Bldg. Code