1978, 05-23 Permit App M6433 Residence, GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, U
GENERAL REQUIREMENTS PERMIT FEE .__.11
4129>
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.
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 BELOW
/ THIS LINE
Name of Owner 4'}
�‘ Address/V I / y dam" ', 419 r 7y''2 one ?2&r7y 7
Architect
Engineer
Contractor
Legal Description of Property (Give c mplete descri tion from dqd, t )r eipt, tA Parcel Number
O✓� 9 /C
Address Phone
Address Phone
Address
Phone
v_ z Y— -( `(
ROADWAY RAW gpp ��{{
DESCRIPTfJN OF WORK: New �Additi
Size of Lot X c2 FE)
Stories / Dimensions /6 r �( 1
Rooms
Remoel
-G�
Moving
Sewage System
Baths 2-- Basement Foundation Const
e �a
(Full, part, n
Heat Systemke- r " Type of Roofing
Fire
GGonst.
(Fr., C
a2 3-1 ValuationuG)CJ
rCCit Ch i mne
JJ Ext. FiDish
Use of Bldg. `/f..-2c24- �L J `� .e-
Total Sq. Ft
(Kind)
Int. Wall Finish
Fireplace
(Number
vry
No. of Units Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ge, nd water supply lines.
4.1.41
NORTH
,f7ra
I hereby cer gf J information
as shown.
Owner or
A LAND USE OR STRUCTURE PE
THIS IS NOT A PERMIT.
1
SOUTH
d is corr
State License
Ind. Ins. Ac.t. No.
RESIDENTIAL,COMMERCIAL
REQUIRED
Plumbing Permit
▪ Heating Permit
4/1 ▪ Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3"/2 y/7 9
ct and there are no other structures located on this property except
Date
MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
5 'Tour street address will be
Sewage Permit Number
Remarks
▪ ee
(- l Q vl/C. ) ! Q., i/� �, The zone is 5-<
Issued Building Permit. & 4/ 3? Receipt .7.0d'L
Issued
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