1977, 06-15 Permit App: M1902 Garage0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201 00
APPLICATION FOR LAND USE OR STRUCTURE PERMITAstyw�tuqrr
Il
GENERAL REQUIREMENTS PERMIT FEE .T._.._...
PERMIT REQUIRED. A land we or structure permit is required by County Resolution to erect a building o of arty
kind or alter any building or structure already erected, or to change a land use. Construction most comfort 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 workonwater connections disturbs
the surface, shoulders or ditches of County Rinds, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Now. 45-133 and 41235.
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 Highs", clearance must be obtained Pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right -of -Way may not be performed mill staked by County Road Department and Work seat be
performed in accordance with stakes. Points of ingress and egress most 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 most be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a as parate 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
Namm or owns. a Address C✓ / G' 9!/.i /r/ /H ao6 Phgo il� 5%rr9
Architect Address Phone
Engineer Address Phone
Contract Address Phone
LeAsl,Dee �i
pit iQP perZy l jive 7lete deeai ptieQfro d taz -. receipt, etc.) Parcel Number Z 6E/ 'J- 2 e/ a -
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone -3
Size of Lot R �` k I .3 %' Sewage System E.y i S%. 41r.t.
n. Cmc.. Br etch
Stories —Dimensions a X O Total Sq. Ft yO d Valuation
Roane Butlin R=ent FoviMtion Const. Chirmey (Kind) Fireplace Nu r
—(Full, pen, ams
Heat System _ ps of Roofing Ext Finish r / / / Int. Well Finish
Use of Bldg. acl�? ¢�. D. �n,Jt�K�.t 6, �- � No. of Units_Bedraxna
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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 linea end streets; (5) dimensions of building.; (B) location of Seelig. sys-
tem and water supply lines.
NORTH
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11 h .V. ere
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
sm Heating Permit _
NSewage Permit _
Y
Plana Received
Plans Checked.
Plans Returned
Plans Picked Ui
Plans Muted _
I hereby certify information submitted Is correct and there are .o other structures located on this property except
as abuse. 1e 0 91
I Omer or Agent Date /
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tom street address will be 0 U The lime
Sewage Permit Number issued Building Permit ft�%Aecelpt'
Remarks
form 523 Bldg. Coda
COMMENCES.