1978, 05-30 Permit App M6480 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 6) O
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6`'
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of-an7
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.
Name of Owner
Architect
Engineer
Contractor
Legal Descr pti
6 'r
APPLICANT FILL IN BELOW THIS LINE
Phone
Address /I Phone
Phone
Phone
rty (Giv comptet
Address
Address q i
Address /CV
rom deed, tax receipt, etc.) Parcel Number
ROADWiREPR11Y1 j1 O WORK: New Addition
Size of Lot
Remodel Moving Bldg. Zone / Fire Zo e .3
Sewage System or.ust.
,C
/c , Br., etc.)
Stories Dimension/sty 6- �X.4 Total Sq. Ft �47/, tFValuation S.Jf<"'
Rooms Baths / /A Basement - A/ Foundation Const.. )Y xe Chimney •�M Fireplace �"
_(Full, part non " (Kind) (Number
w
Ext. F Wish �-4 Int. Wall Finish
Heat. System
Use of Bldg.
fro X o o
pe of Roofing
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
No. of UnitsiLBedrooms
I hereby
as shown. -
NORTH
SOUTH
l►
fy information submitte
License No.
Ind. ns. Acct. No.
RESIDENTIA
COMMERCIAL
REQUIRED
Plumbing Permit
wr Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5736/7 k aea.t..xo
is correct and are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be CC // /0 .
Sewage Permit Number Issued
Remarks
Build ng Permit;'
The zone is ,e7 ./.4,[,L/ - >� J-
Receipt -0:1.2 // Issued
Form 523 Bldg. Code
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