1978, 04-26 Permit App: M3987 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
44:3,1--""
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.
NATER. 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 ,+
1 • '� - :.t� ,i I Phone 5'01rii
Name of Owner Address
Architect Address Phone
Engineer Address Phone
Contractors a,w>�YtC-"
fl fG Address Phone
Legal Description of Property (Give complete de cription from deed, tax receipt, etc.) Parcel Number C) 'Self - 03/g
ROADWAY RIVE WIDTH
DESCRIPTION OF WORK: New Addition
Size of Lot /3 G S-0 t( /
Remodel
Moving
Bldg. Zone / Fire Zone
Sewage System //A
Const.
(Fr., Conc., Br., etc.)
Stories Dimensions a2 V K 36 Total Sq.Ft 6 5`O ,A1 %� 000
Valuation
Rooms —� Baths Basement /y/¢ Foundation Const Patt, Chimney Fireplace
Fu I, part, Honer (Kind) (Number
Heat. System '---- Type of Roofing,�Ext. Finish �%7F01 Int. Wall Finish /VA
�
Use of Bldg. t2P_) eic .Y t-%
No. of Units Bedrooms /1r
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-
tem and water supply lines.
m
to
NORTH
SOUTH
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
Is
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7%..."!,,y4v4eir
I her certify infor tion submitted is correct and there are no other structures located on this property except
as sh3en.
Owner or Age 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
Tour street address will be -%/• / 3 3
Sewage Permit Number Issued Buil 1 g Permit
Remarks
The zone 1s
�517g Receipt /5-37
Issued
Form 523 Bldg. Code
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