1976, 05-14 Permit App: L3837 Garage Cinty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /64)--°'
GENERAL REQUIREMENTS
PERMIT REQUIRED. A land use or structure PERMIT FEE
kind or alter any building or structure permit is
or9 toCouchangesalland nuse.to erConstruction ect a nmuor st conform rwith 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 zonessand under most circumstances, a set-back from the front property line, of at
least 25' is required, a 5' side yard from a flanking street, and a 25' rear
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained yard are required.
and egress. pertaining to set-back and ingress
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 21 1. 4_,____, Z Address --5- 6.-
1 Phone
Architect Address
Engineer Phone
Address Phone
Contractor �SX4J ed---24,0_.t., Address JO A. /f�
i q.24,._-• Phoneae',..-3/-S �
Legal Description of Property (Give complete description from deed, tax receipt, etc.) .Ll4i-(` - -2,25-#/ -6 6�-3/
DESCRIPTION OF WORK''://N Addition )( Remodel Moving Bldg. Zone
Size of Lot �S-k'/' Fir one
/
Sewage System A/ onst��-Qit't
Stories / Dimensions , -6 X �) / Fr., Conc., Br., etc.) �_
Rooms f—Baths A/� BasementTotal Sq. Ft. ch 4 0 Valuation e d 0
Full, part, none '� Foundation Const.. ( l�.t�f � Chimney A/A Fireplace ��
Heat. System /� (Kind) (N tuber
Type of Roofing �1��. Ex . Finish/4(.04-114 y /�
Use of Bldg. l �O�L�JG/� CQ J �'u Int. Wall Finis h�C - 'iT Ll V
No. of Units_Bedrooms
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.
OK ON F/1-0-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
^' m Heating Permit
H a
-i Q N Sewage Permit
57
���� Plans Received
R X65, iI Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
C T H Ave SOUTH
I hereby certify information submitt d is correct and there are no other structures located on this property except
as shown.
Owner or Agent
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
Your street address will be 43_,.. ._,.3--61 6
The zone is/ X
/ fy� nt 1
Sewage Permit Number
Issued Building Permi
Remarks .3E37 Receipt Issued
Form 523 Bldg. Code