1978, 02-28 Permit App: M5082 Garage• b
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT loo
GENERAL REQUIREMENTS PERMIT FEE Q
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
1 kind or alter any building of structure already erected, or to change a land use. Construction must conform with the
a Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. (later 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 moat 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.
a n (ort_y) APPLICANT FILL IN BELOW THIS LINE
Name of Owne
Architect
Engineer
Contras
Gt-rLaJ AddressL/' /?Q g /d - cLt Phone 774-6 tri
Address uV Phone
Address s� // 9j¢20 ( Phone
Address �b9// C, rvci<..ex..�� Phone gag' 2 27 b
deed, tax receipt. etc 1 Parcel Number •Vl^!S Sof -Q �?
Leal Descrip ion of Property Give complete�Pdescriptio from& 9' 6
,H 34�✓ /ea• -sr J66)
,T -s 'Z,.) %a
DESCRIPTION OF WORK: New L.'''. Addition Remodel Moving
Size of Lot Ih
Stories Dimensions of ,/X cx2 V
Rooms / Baths Basement __d L2= Foundation Const
Fu I, part• none) -
Heat. System M Type of Roofing Ext Finish
Use of Bldg. c(ot¢-e_L-r�
Bldg. zone / Fire zone L
System ..r'7-
Co rust (cL•
1I fzef et 11
Total Sq Ft 3-2 C. Valuation XBr.}}66 sl ' °-O
Chimney .•-•41 4 J
Fireplace "��'
(Kind) Number
Int Wall Finish .41/5 /
No of Units�•Sedrooms-_9
Sewage
Draw sketch with dimensions showing: (1)
pro osed buildings; (4) distance to property
to and water supply lines.
13.1
ns
0
H
NORTH
PLOT PLAN
Property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
State License No.
6277
Ind. e. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c lfy informations fitted is c ect and there are no other struc es located on this property except
as shorn. .
Owner or Agent Date / -
4.
A"LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. 1
Your street address will be
Sewage Permit Number Issued Building Pe
Remarks
DO NOT WRITE BELOW THIS LINE
/Vi / 7a R' k%-. �
/nI The zone is
i✓d/1 Receipt 03
/1
Issuedottxtedre
5o z
Form 523 Bldg. Code
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