1978, 07-19 Permit App: M7244 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE LisaX'
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 9igineer'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 srmeikkE, Crif.to(�
Address ?nod 1 - 7TH Phone 53S -S3S�
Name of Owner PAVlb 14,4 STON
Architect
Engineer
Contractor PA 1)1 D J014 N STO
Legal Description of Property (Give complete description from deed, tax receipt. etc.)
ALL_ op LOTS 3 'TI? 1 /, ) N1 L 1 Utr -, ' AND Lo"T 121E Xc T U]
1 t4 BLc7 C. K X' o f I M P i 1ZE- BE 61 Ap D t R , As PIPERT"
� NL vD LUMP "NI r, Q F /9,33,
W�A�Yy0wRK: ppYe
w Addition Remodel Moving
Size of Lot 127 1 )C PO'
Phone
Phone
%OQ� 7 T-19gzoia Phone S-35-- 535-1:_
2-11531- 32o5-
Jo `-r-hettM O r
}e RC.Of R cotZ 1D
Address
Address
Address
Parcel Number
Stories 1 Dimensions z Y X 341
Bldg. Zone
Sewage System
Fire Zone 3
(Fr., Conc.. Br., etc. )
Total Sq. Ft A6li Valuation 35b0Tc1c
Rooms _..L Baths Basement NC Foundation Const. C.< NcRE.TI' Chimney Fireplace N1
Fu I, part, novel � ( end) , I (Number
Heat. System l'I!rr Type of Roofing SIT1ON Ext. Finish WOOD ,SIb11 J Int. Wall Finish l� GWV-
Use of Bldg. G, /4,g46- PETAt1Ar - Pl.t VAS No. of Units Bedrooms Ni
7/
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 arid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
EXISTIIic
its IDENC.1✓
I hereby c/J ify (.l
as shown.
SOUTH
on sub.itted
correct and there are no other
Owner
Agent
State License No.
Ind. Ins. Acct. No.
SIDENTI — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked A OSTI-Eit1AM
Plans Returned
Plans Picked Up
Plans Mailed
-7//pere€44.-,4-0,
structures located on this property except
-J(Afty I9J`97�
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
7O0b E ! 1 N zone is �.�S1Dl;/�I7/P1- /�1oF311�1ti1=
Sewage Permit Number Issued -7TH-
Building
�T- Building Permit Receipt 813 Issued
Remarks fyc)---t- 1-0 13a LAS F AN Y c b M M E Kc
Your street address will be
Form 523 Bldg. Code