1978, 05-03 Permit App: M6107 Garage County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 30.�%
GENERAL REQUIREMENTS
PERMIT REQUIRF�. A land use or structure PERMIT FEE
PERM or ater permit is required by County Resolution to erect a building or structure of aqy
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 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-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 BELOW1 � THIS LINE Wc ,C(e
Name of Owner ? 4d Address i//O gE?'i�i �l`�
Architect v � Oi / Phon _9-26- /, GI
Address
Engineer jam,, Phone
Address =".0/4 J -KA '.
Phone .`
Contractor �
;L7LeAddress "rijr
S L (11 Phone9.5.----
al Description Prope y (Give omplete descri ' n from deed t receipt, etc.) Parcel Number ,2..C1t 6, 2 QF U ()Vt t. Ise - /�
ROADWAY R/W WIDTH --170
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 51',530( /,?/-/..j/ rX 6. „ '9' �( /41/16
/1 C 4(' Moving Bldg. Zone �_ Fire Zone 1��"
` T 7 Sewage System Const.`� wr{sZ
Stories I Dimensions .y x Fr., Conc., Brr./ etc`)
Rooms Iry Total Sq. Ft. Valuation7Y C/C:`
Baths Basement — Foundation Const. �'�� 21 -r 7)4X-_
(Full, part, none) �— Chimney Fireplace
Heat. System Type oofi g '' r' ' ,� ,e (Kind) p (Number
�i` " �f Ext. Finish Int. Wall Finish
Use of Bldg. , kilit3 rz+etT
11
No. of Units►..Bedrooms
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 ib pproperty lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. t
Ca \ i AState License No.
1 s
Ind. Ins. Acct. No.
,,,
v.
RESIDENTIAL- .OMMERCIAL
if
REQI • D
Plumbing Permit
N ► \m Heating Permit
9
0)17-
`►. "fir sA H Sewage Permit
I
•<.! Plans Received
` ' R4u Plans Checked
7 [ �' ' Plans Returned
. esbc,i '11
Plans Picked Up
q• Plans Mailed
'30 TW 374//7 8
t I her ey ce tify informs' on s,bmitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
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
Your street address will be ///i,/ e1 i/1.J, a ,
Sewage Permit Number Issueed The zone is �j ,y --
Building Permit M C�I(�� Receipt /10/ Issued
Remarks
Form 523 Bldg. Code