1977, 03-17 Permit App: N0015 GarageCl/Aft of Spokane, Wash ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9
APPLICATION FOR LAND USE OR STRUCTURE PERMI
/ 0
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.
APPLICANT FILL IN BELOW THIS LINE
(11-4-74/Lel.,/,e
4 r„(.e�o 9 9.2/
Name of Owner �r iJii D- -' l -4-74/ ll- J Address / .F.3.0 a C' LI-- Phone ^ ' " 9/ 7°_
Architect Address Phone
Engineer Address Phone
Contractor- — / Address �7 Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc) .(1.41-(O.F' / R557 -a 4 /'i - Z'/ /1
Al. 90 / I 07 C., /3 L K // 7/rzi)1 `1. -a -r 1- aze4
DESCRIPTION OF WORK: New K Addition
Size of Lot I >( /00
Stories Dimensions X 7/
Rooms L_ BathsBasement jVA
Fu I, part, nonei
Heat. System Type of Roofing
Use of Bldg. .�.`I(... q ..,19„,L.,(4) -07k")
Remodel
Foundation Const
Moving %( Bldg. Zone _i_____. Fire 7onetii
Sewage System A/A ��
(Fonst. r., Conc., Br., etcd O
Total Sq. Ft A 7(o Valuation 3040
C imney NA Fireplace N'4
(Kind) Al)(N mbe
ss'J
Ext. Finish ti'r Int. Wall Finish A
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) distange to property lines sad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NQRTH RESIDENTIAL — COMMERCIAL
/
SOUTH
I hereby certify informationWed is correct and there
as shown. `
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
DO NOT
are no
State License No.
Ind. Ins. Acct. No.
RE9UIRED
Permit a `� �7 cz,R/
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
—/2 - 77
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
ITE BEL,
W THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued
Bui
"lie zone is
ing Permit Woo /) Receipt/a/[l 'J Issued
(
'6'jc 3 fe-i2d
Form 523 Bldg. Code