1977, 09-28 Permit App: M3514 GarageC nfy of Spokane. Wash gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT da -
GENERAL
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GENERAL REQUIREMENTS PERMIT FEE .__ /______________
PERIMIT 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.
COUA ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must bq.
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOV16G OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Hignway, 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 L NE
Name of Owner Address Phone
Architect Address Phone
Engineer Address � Phone
Conti, acto Address ze fPhone
Legal escription of Property, (Gi complete description from deed, tax receipt, etc.) d
DESCRIPTION OF WORK- New Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot ld Sewage System yfi �Fr�sCdnc., rBr�.,�e�tc�.)
Stories _Dimensions ? l z, T tal Sq. Ft.� Valuation 3zX--
Rooms I_ BathsA� Basement Foundation Const. Chimney./V/1 Fireplace -'y
W7511, part, none(Kind) (Number
Heat. System Type of Roofing GYtrs� Ext. Finish --� Int. Wall Finish
Use of Bldg. GIS+ -f - !/,t.[10L_r1Z_ . No. of Units L Bedrooms./0W
V - 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-
+om ...I more,. . `!, l i—
SOUTH
AL State License No.
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Ind. Ins. Acct. No.
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REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
as shI hereby ce ify information submitted is correct4nd there are no other struct�es located on this property except
Owner or Agent U Datt
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 The zone
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Sewage Permit Number Issued Building Permit Receipt I sued
Remarks
Form 523 Bldg. Code
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