1972, 02-03 Permit App: J1779 Garage County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHQUS2. S„'OI(AWE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE' PERMIT ``l
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GENERAL REQUIREMENTS PERMIT FEE '
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PERMIT REQUIRED. A land use or structure permit is required by Comity sieaolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is su':aret to Inspection.
WATER. Water supply must be approved by the County and State Health Densrtmants. Where wmmk on water 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 NOff, 45-133 and 47.235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-hack freer 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 he 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 esseeents running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL I1! BELOW THIS LINE tr7Z,t')6 —
Name of Owner W i M• k''' ce 4.. �� "� J /y
Address 5-
�� f� �� - ) P�"I�t�' �U Phone '�.�`�S"1'/6
Architect _S%-�i'J e* Phone Engineer _ Phone
Contractor s-,
,1- . f' Address --'_ Phone
Legal Description of Property (Giv!e-complete description from deed, tax receipt, etc.)
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,Sfay- .3/ i=c) r /aLfi .. F%r�= � �ltJ�l
p.m-7o f= 77 1. 7 /-- _T e/f-%'4- I
DESCRIPTION OF WORK:New Addition Remodel Moving __Bldg.Zone Fire Zone
Size of Lot /JO A/ /%f L Sewage System ¢ T1 < Stories / i
Const. 1l'i#f7)1`'Dimensions '/XG'L� 4 ; /atI 'ica'X ZG Total Sq. Ft. 'O 6'0 Valuation ala-'6) t'(()
(Frame,concrete,brick,etc.)
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Rooms -a Baths V Basement IL cc Foundation Const. aa',/ ='r-J L. u Chimney i AS Fireplace 4�.
,J (Full, part, none) (Kind) (Number)
Heat. System 1—A cT Type of RoofingC 6 rg f" i i
YP � Ext. Finish Ll�f'a Int. Wall Finish G t /.1 !S���
Use of Bldg. ;5),/.4 -1 2 r-:, /t F°1,rf I(�
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{.r-- No. of Units Bedrooms
Garage or Carport Attached '`4> / U "/ /;/E Private Detatrhed
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 State Lice a No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ./
m i ra Heating Permit
`„� Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted 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 BEFO S CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
C DO NOT WRITE BELOW THIS LINE
Your street address will bei 1/ � �
Sewage 1 44aaai-(fie zone ism --.4.--e "I
B Permit Number Issued Buildia Permit .'7/ Receipt a- /Issued
Remarks r
Form 523 Bldg. Code
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