1978, 09-24 Permit App N0928 GarageCour - of Spokane, Washinr on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /° .�
GENERAL REQUIREMENTS PERMIT FEE °U �3a_A
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any kind alter any building
or structure already erected, or to change a land use. Construction must conform with the Spokane County Building Code and ring Ordinance. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 performea 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 building (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 LI
Name of Owner_ Address - % Phone $d - Gsau
Architect / /r Address Phone
Engineer Address Phone
Contractor Z2.e2- Zr-1 Address Phone
Legal Description of Pro % (Give com fete description deed, tax receipt, tc.) Parcel Number Ot r 3 (3 — `�6, /t
cr) /CD ", ?-'-; f
G%
/I//f_ �S l2,7-e-1,
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot & / ,s
Stories Dimensions 15/ X_1 Z- /p/
Rooms / Baths Basement Foundation Const.t1'
�F II, part, none)
Ext. Finish7------/l/
Heat. System
Use of Bldg.
ROADWAY R/
Type of Roofing
ny % � L �a ,.(i / No. of Units Bedrooms ///tr'
IDTH
Moving Bldg. Zone / Fire Zone 3
Sewage System N l t• Cons
(Fr., nc. Br., etc.)
Total Sq. Ft. , O e valua on / (1 i
Chimney (Kind) Fireplace
Number
Int. Wall Finish 217,1y)
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.
N
NORTH
t
a
2 L —
lq'
SOUTH
tate Li,
i nse No.
L 7'
06
Ino. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as show
ner or Agent
Date
A LA USE OR/STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. .=-:_ I v . _- =BLS
DO NpT WRITE BELOW THIS LINE C 2
0
Your street address will be e zone i�sssi Sewage Permit Number Issued Building Permit Receipt d>(
Remarks
Form 523 Bldg. Code