1977, 04-06 Permit App: M0409 GarageCanty of Spokane. Wasllgton
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 en ti 12 d ./-• Ma/ Address 71 r%O7 in) i71/ p Phone ! �- _____�
Architect Address Phone
Engineer Address Phone
Contractor aSa s -r e-- Address Phone
Lealescrii tion of Property (Give comple a description from/deed, tax receipt etc 1 � i_� - 4.12-
/ -. C 7/a .X� L /t/ofr at.
DESCRIPTION OF WORK: New , Addition Remodel
Size of Lot / Q2,Sa
Stories _Dimensions old Y Y. d
Rooms j_ Baths /l�/!f� Basement Foundation Const
(Full, part, none1' -
Heat. System Type of Roofipg C
Use of Bldg. at -0 +>' 27 f'P-t-^-X.t
Moving Bldg. Zone / Fire Zone
Sewage System
11/4-
1=— a .
, COOOOOnc., r., etc..
Total Sq Ft S J Valuati 0 d
cones, -Pr -4, Chimney Kind) Fireplace
1� ` r.! umber
Int Wall Finish
No of Units _ Bedrooms
Ext. Finish
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.
NORTH RESIDENTIAL - COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit
in Sewage Permit
-t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures loca
er or Agent Dade
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ed on this property except
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
7 /1761 y.'
>14
Issued Building ami'1a d'/a y Receipt
Form 523 Bldg. Coda