1976, 04-01 Permit App: L3199 Garage •
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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 rU
\hV \`.ic .-kt_C.
V1 \..-- Address \ �
C = (-r-S\ 41:4- I\v .Phone L) <ev -St
ry tS
Architect Address Phone
Engineer , Address _ 44a.v . Phone {
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Contractor\� l F- '_� -0 t�K-\I � z ( . fhl_) (dress N- 1 (-:ZC F-� L.1-- - -'Phone _ -;-> - )O (b
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
1 ' 1 \-) < 2_7_ (L 17_17; i TA D �, 41 3
DESCRIPTION OF WORK: New yXAddition Remodel Moving — Bldg. Zone IFire_Zone
Size of Lot (2- "C t Sewage System t-- � - L onst.�t'ytSt'\\:::.`A-C �-�
L
A 1 (Fr., Conc., Br., etc.) b
Stories -- Dimensions -__--"t X�(LiTotal Sq. Ft.`)C Valuations Ilti
Rooms \ Baths , Basement Foundation Const.. \-"L' Wi=n CU`Lti`rhimney Fireplace
(Full, part, none) �� (Kind) (Number
Heat. System - Type of Roofing STE:-(- Ext. Finish -C=\--- Int. Wall Finish
Use of Bldg. V. \\)1)\V l. (__-_ ----4-\/... / Fk_\-\SC7 No. of Units_Bedrooms f
PLOT PLAN triz
Draw sketch with dimensions showing: (1) property lines; (2) Ar.&et or/road locations; (3) location of existing and
jb
Or
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH .. State Li ense No.
s 6
3L"'�5I 1)-1
o. s�Acct . No.
i
REQUIRED
, sip'
\'c." r Plumbing Permit-
/ nr HeatingPermit
m p IP
N Sewage Permit
-i `r- \ 4 ,i
1; Plans Received
Th
' I \n)
Plans Checked
\ r Plans Returned
I A Plans Picked Up
4T- Plans Mailed
SOUTH
I ereby cert' y inf do submitted is correct and there are no other structures located on this property except
as sho Ctkk ' -• 07 I('-t. 11/1 I 76
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�l DO` NOT WRITE BELOWW,THIS LINE
Your street address will be I "7 d v IG S ,44 z,,c-t[ The zone is
Sewage Permit Number Issued Building Permi „A3 Receipt O U 41rIst d
Remarks
'pry
Form 523 Bldg. Code