1977, 09-22 Permit App M3428 Garage•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT J
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.
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.
Uc
APPLICANT FILL IN BELOW THIS LINE
Name of Owner _ ME c 3l oa)n) Address
Architect Address
Address
Address
Engineer
Contractor
Legal Description of Property IGivz,.complete description from deed, tax rec pt, etc.)
c T) 5 R 9 , tic CEl , ioS ` o-V /1l 02,25 ' a �'n J i7
CGc\s �. �cl4 fic) G;�c C�CCeS as �`R a -khER€ o COer �d ►n
Q
oc .. c ocAQ n e co l'#��;1� 4
(A) eE a\ S��e1 0c1RS
QC�
Phone
Phone
�W.47Phone Q
(�J . 6 /0 Sea) nd Phone 6.241 - 9007
von S o 4s, rile 30p, x ie' And_ +h
ce' cgcgl /S 3 .99
DESCRIPTION OF WORK: � Addition
Size of Lot Sewage System
ew
Remode _ Q Moving Bldg. Zone / Fire Zone 3
t/ A Const. Fos m
( _ A
Fr.. Conc., Br., ta,)
Stories Dimensions o24 1 A Total $cl. F Valuation
Rooms Baths Basement Foundation Const. Q �C 1 i � �`himney Fireplace
(Kind /V A(Number
Heat. System
Use of Bldg.
Full, part, none
N>k Type of Roofing
Exxt1Finish
Me VG,
Int. Wall Finish
No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings
tem and water supply lines.
I hereby cer
as shown.
NORTH
SOUTH
'nformation su mitted�� and there
6.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
are no other
"/4
00
(3) location of existing and
; (6) location of sewage sys-
State License No.
Ind, Ins. Acct. No.
Ul v-E5-3ZI,S
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
9 ---„V-9'9
Your street address will
Sewage Permit Number
Remarks
7ao-42")A 7
-- ng Permit
DO NOT WRITE BELOW THIS LINE
zoneid
Date
Receipt d
Form 523 Bldg. Code