1975, 10-15 Permit App: L1813 GarageI �' A •
Cindy of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED, A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter 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.
RATER„ 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 47235.
SET-BAbK 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 ingresf
and egress. l
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. Paints 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 BELOW THIS LINE
Name of Owne/i>'t -Address f1- / 5 // / 7 phone frw--SS -7J -%
Address Phone /
Engineer popp Address Phone
Contractor_ Address
Legal scription of roperty (Give complett d�acripti�rom deed ax etc
��C�iiEE-- /
Architect
Phone
—D2o JLO
. gr p P
DESCRIPTION OF WORK: New " Addition Remodel Moving BI•. Zone
Size of Lot 1/J,tr74.-Z/1o.S2kmee r/90 a' //Q SewageSystem
yy Y
Stories/ Dimensions -s- ' 3x2- Total Sq Ft _/JI ti n 5000r
Rooms / Baths --- Basem.- ` Fe ttla ion Const. �4-3� / —�
(Fall, part none) Chimney Fireplace
---7(Kind) (Number
Heat. System_„ Type, •R• ,ng t Finishr Int Wall Finish
Use of Bldg. �/Tf 2���L-'' / 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 property lines and streets' 5 dimensions of buildings; (6) location of sewage sys
and water supply lines.
e
.
NORTH RESIDENTIAL— ERCIAL Grant Lice se No,
Fire Zone
to
-1
Ind. In.. Acct. No.
REQUIRED
Plumbing Permit
re Heating Permit
NSewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up,
Plans Mailed
SOUTH
I hereby �ettlfy inf mtien sub fitted correct and there are no other structures located on this property except
as shown./�T\
/O—/��Js
Ow er or gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T111515 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be, 4/5—/// yye zone i
Sewage Sermit Number Issued Building Permit Lie///3 Receipt Q asueE
Remarks
Form 523 Bldg. Code
70.6
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