1978, 04-26 Permit App: M5992 Demolition Garage-CS 410
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT C "-
GENERAL REQUIREMENTS PERMIT FE
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 mast 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.
�yAPPLICANT FILL IN BELOW THIS LINE
�C/
Name of Owner iw o i%b , e e gen Address t,. /tib Li/ Phone yo?Y-ii
Architect Address Phone
Engineer Address Phone
Contractor ntvs-i Address '4ara.t' Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number OgC"yy` 03/W
8A-4 1 9 7 . Opf_e-c .m f 414- . .2. 2 W 7.74:
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New
Size of Lot
Stories _Dimensions
Rooms_Baths�
Addition
Y `x 24"'
Heat. System
Use of Bldg.
Basement _
Fu I, part. none
GiniLyipe of Roofing
Remodel Moving Bldg. Zone 1 Fire one �.�,_
Sewage System Const Br.. :
r., nc., Br., etc.) De
Total Sq Ft S 76 Valuation -le -2n'
_ Foundation Const Chimney (Kind) Fireplace
(Number
Ext Fi ish .Int Wall Finish
AJ ?cc.rra is . C R .' No of Units—Bedrooms
Draw sketch with dimensions showing: (1
proposed buildings; (4) distance to propert
tem and water supply lines.
WI.Y
NORTH
PLOT PLAN
) property lines; (2), street or road locations; (3) location of existing and
y lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
State License No.
Ind. Ina. Acct. No.
(RESIDENTI COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
Re
Sewage Permit
SOUTH
I hereby ify information ub is correct and there are no other
as shown.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Omer or Agent Date
A LAND USE OR STRUCTURE P MIT 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
Remarks
T2 0 !/[/� RGtel The zone is t�9. - 24.
Issued Build g Permit _Receipt /CA? o Issued
Form 523 Bldg. Code