1977, 09-02 Permit App: M3113 Garage• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT yr
GENERAL REQUIREMENTS PERMIT FEE..r�77./._
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.
RATER. 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. 95-133 and 94.235.
SET -BACK PROM 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 OP BUILDINGS. A permit is required to move an existing building. nen a building is moved on a County or State
J 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
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Name of Owner .. _ ._, a ¢ rens 1 •'CI Z \c�� rPhi. (' ih bt Phone / I 5-1
Architect Address Pho e
Engineer Address Phone
Contractor wx-c-r'— Address A - r ' Phone
Legal Dee iption of Pr arty (Give coplates i t n fro deed, ax reF� p[. etc. Pardel Harsher1 04
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DESCRIPTION
DESCRIPTION OF WORK: New
Size of Lot cBO 7(1 0'0
50.07 teJet-
Stories 1 2 -Dimensions �,,Ayyyy...,,,
Rooms BEMs , . Part I
Haat. System .:.
Type of Roofing
Use of Bldg. t--_' .•
Addition
Remodel
Moving Be. Z ne 1 Fire Zone 3
Sewage System Z- Cont ' .-
IFr., Conc., Br.. etc.)
2 x1 b
Total Sq Ft.22�4 valuation �$ flee
Basement �tni� Foundation Const �nar t_ Chimn$'M 44LFireplace
u I .nope (Kind) (N -umber
Ca) Ext. Finish 11 Int Wall Finish .CIkette LAC
MT • - No of Unitsa Bedrooms if
PLOT PLAN
Draw „sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (9) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
DucLe
NORTH
I her
as shown.
H
ed is correct and there are no other structures located on this property except
State License No.
a3 -o/ -DI -Re'
Ind. Ina. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
to Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plana Mailed
Salo
7/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT W'ITE BELOW THIS LINE
i Your street address nine /3 VP - // //3The zone is
r Sewage Permit Nuaber Issued 'Building Permit/ InII/ Receipt Q/n/(Isauetl
Remarks !'/r
•
Form 523 Bldg. Code
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