1972, 07-10 Permit App: J3689 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201 .�
APPLICATION FOR LAND USE OR STRUCTURE PERMIT�// 00
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required toty
y County RoResolution
use. Construction uconform with slerect a
structure
kind or alter any building or structure already erected,
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 eater connections disturbs
the surface. shoulders or ditches of County Roads, permission must he 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 -hack 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. 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.
with the land
which a e enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedicat tons and easements running
r APPLICANT FILL IN BELOW THIS LINE �,:�A „� - 99/0/6
Phone LtJg 4 -%% 9 j
Name of Owner
Architect
Contractor'-
Legal tL.cr lotionUC1 Pro r rty (Give complete description from deed, tax receipt, etc.)
e0
Phone
(Vitas
Meer
Address
Address O%--rrta
Phone
Phone �---�
DESCRIPTION OF WORK New / Addition Remodel __ Moving Bldg. Zone / Fire Zone
/
Size of Lot �iti !/� <
)r I. Sewage System Stories
Coast. menslons .J`(� X 2�f Total Sq. Ft. Or%o cyr valuation,i1 n>.w o-t�
(Fre concrete, brick, etc.) O
Rooms - Baths e-` Basement --- Foundation Const. C__ip-Yt YA J-.1_0 ) Chimney Fireplace
(Full, part, none) (Kind) (NumbexI
Hent. SystetH Type of Roofing Ext. finish / Int. Wall Finish/ at— '-A d
Use of Bldg. 42.4 /.�/[i / ye iI M c / i ./r I� No. of Units �[_ Bedrooms _•
n•1P etlA / Private Detatched
Garage or C art Attach
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
g rr AVE SOUTH
StateeeLi(Licceense No.
-�+f
Ind. Ins. Ac6t. No.
REQUIRED
Plumbing Permit
M Heating Permit
Sewage Permit
ti
Plans Received je-
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
_ eby certlfnf r tion submitted is correct and there are no other structures located on this property except
A /..Ma/.(//fE�
(/Y� 6Lu/ q
Owner or Agent Date / 0 2-2--
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 /9r2 f wr Il 14e zove is Arid /���
Sewage Permit Number Issued Building Permit Receipt gaft� Issued
Remarks
Form 523 sidg. Code