1977, 03-20 Permit App M0052 GarageCady P of S okane. Wash ton
�
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEES
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction mast
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,
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
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work
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
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 enforc ble through civilamfaction. County Officials can not bring action to enforce covenants or dedications.
+ [dAPPLICANT FILL IN BELOW THIS LINE
Name of Owner
Engineer
Contractor cP1zi _a t•ee7t./.4wev,
N.>A--4-eetX
Architect
Address
Address
Address
Address
S'6O / c:& i✓ s �'+w jL Phone
�f Phone
g;/j/f/ � d Oho:
Phone
ar °(-)
structure of any
conform with the
of'
at
ingress
must be
or State
9. C/d'/cP
Legal D cription of I -operty (Give complete description from deed, tax receipt, etc )
I►r�'7is'leA620 -Pr v, 3
DESCRIPTION OF WORK) New _�� Addition Remodel
Size of Lot � )( ,2 OS./
Stories Dimensions
Rooms Baths Basement
Full, part, none)
Heat. System
Use of Bldg.
Foundation Const
Moving Bldg. Zone��
/ Fire Zone
Sewage System l Pijl -
Total
Sq. Ft ‘eP
Chimney
Type of Roofing
Const./l� �~+ g
Fr., Con Br., etc.)
Valuationw4eAF6'
Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units _Bedrooms
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 struts; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SOUTH
RESIDENTIAL — COMMERCIAL
State License No.
6.K ,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn 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 shown. ^
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
o- / 77
DO
NOT WRITE BELOW�/THIS LINE
l�
p / XTt O • The zone is
Issued
Building Permit
/1�ClL�,.5Z Receipt ql5 % Issued
•
Form S21 RIrI„ rr.rie