1978, 05-17 Permit App: M6339 Garage• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner �S ' Y 7 Address j /,3U'.) I tL`--L� ��,� Phone
Architect Address Phone
Engineer_ 1 Address 9 q 2U Phone
Contractor / c t 9142 fl :1 , ! (1 Address 4) .7 1 2 P f r t- Phon
Q ' 1
Legal Descripti°�of Property (Give /gmpletre_description from deed, tax receipt, etc.) Parcel_ Number
l� I JI t?c_•!� 1 C V c l 11 Cs „ . ( 1 C! h
DESCRIPTION OF WORK: New Addition X Remodel Moving
Size of Lot ' j" X 121 .T ' / '- it' I bG %f f 3/ `f Sewage System
Bldg. Zone / Fire Zone
Stories / Dimensions 27' Jt .24 1
Rooms _L_ Baths �g Basement /kf /Li Foundation Const. C r✓ i� C V f t-' Chimney Fireplace
(Full, part, none) (Kind) (Number
Heat. System Type of Roofing�J _ I h Ext. Finish ��� /1ltSt r;�i t. Wall Finish SA* itc,�
Use of Bldg. A 4l G [ Pr 'ire :T7� I l i C.4 Y %A.r t_ 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 a,d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Total Sq. Ft .3 7 f!'
ryon.st. ') c, 111 e
(Fr., Conc Br.,
Valuation y(-' 0
lel
24/
,y
n
NORTH
SOUTH
213—CI
State License No.
EA — G G 2 3s /06
Ind. Ins. Acct. No.
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
• Sewage Permit
- 4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
P7Agavege-ez
I hereby cert information submitted s co t and there are no other structures located on this property except
as shown. :'-1
---) _' _ --"4-2,S-'-- P7 — % S'
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
Sewage Permit Number Issued Building Permit
Remarks
The zone is l . irik.(A.1
Receipt/ 9 7 7 Issued
33`t
Form 523 Bldg. Code