1978, 04-05 Permit App: M5696 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE.2/:.
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PMUIT REQUIRED. A land we or structure permit ie required by County Resolution to erect a building or structure of any
kind or alter spy building or structure already erected, or to change a land use. Construction eget conform with the
Spokane County Building Cade and Zoning Ordinamae. Construction is subject to inspection.
WATER. water supply must be approved by the County and State Health Departments. Where work wester connections disturbs
the surface, shoulders or ditches of County Reads, permission must be obtained :rom the County El Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Now. 45-133 and 47235.
SETBACK 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 net be obtained rectal. ing to set -back and Ingress
and egress.
COUNTY BOMB. Work on street right-of-way may not be performed until staked by County Road Department sad work met he
performed In accordance with stakes. Peters of testa.. and egress meet be approved by the County Engineer.
ROVING OP BUILDINGS. A permit I. 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
o _ .. ... I/j c—�D 9Jp_/00 Z.
Name of t
Architect
Engineer.
of
Address Phone
Address Phone
Address
phone ye<a
o deed, tax receipt, etc.) Parcel Number
OAOW Y8/W WIDTH
DESCRIPTION (l WORK: New % f/ Artificial
Remodel — el MovingBldg. Zone / Fire Zone
Site of Lot '/ X �� t Sewage System C nst,' 1 �.�
J Fr., c.. Br./ tc.l
Stories LDimeneions ��ay Total Sq. Fo-1—�Veluatiuo5; 0'
Roane �_ Bathe " Bavemant Foundation Const. Chimney .Lily= Fireplace n--
�/ Fu I, pert, nme1 IKindl n�H
Heat. System -�I" Type of Roofing o O Enc Finish ,aC.u�_ Int. Wall Finish
Use of Bldg. Gin /i1 i1� ( No. of Units LSedrooms !VA
C7nU I PLOT PLAN
Draw sketch with dimension. showing: (1) property linea; (2) street or read locations; (3) location of existing and
proposed building.; l4) distance to property lines sad streets; (5) dimensions of buildings; (6) location of sewage sys-
ton ..it water ...olw linea.
NORTH
SOUTH
I herebyIp information
an shown. A .
State_ ycanve Na.
Ind. Acr, N.
RESIDENTI L COMMERCIAL
REQUIRED
Plumbing Permit
re Heating Permit
te Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed Ilk,
7//�°�' e 444je r
re are no other structures located yn pthis property except
Owner or Agent 0 Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. ,
DO NOT WRITE BELOW THIS LINE
Toy street address will be m52 The zone
Beaage Permit Number Issued Building Permit ,)_.__ Receipt _
Remarks
Form 523 Bldg. Code
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