1976, 04-13 Permit App L3378 GarageCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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.
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APPLICANT FILL IN BELOW THIS LINE
FR�4t4 4& L. MOO i�E,. $ - Address S �5 Zz- - • 13 P�wR�j Phone Z� -kri 1
Name of Owner
Architect
Address Phone
Engineer Address 991-0G Phone
Contractor
N.177t i FC NCB, - Pc� Ph ore S j-c^jOlip
� G� d- CCvti3�Y ��� t- �"� Address � O G Legal Description of Property (Give complete description from deed, tax receipt, etc ) Ppr .�1- l ?i
tii ktZ . L i- t � 3tfC C1C . 18 1-A Ok--(A-'t 1'. SC'%t- ' S Pates i - t c., tJ E )LCC- " r r IT
b�Ti.c��1 �1 1v' .\/ ''i> �b-TNE CC> ' ti]` c S�'C^.rLt 1rc - -' pR1b1..1ay
a\)E . >J o . 4./St- .
DESCRIPTION OF WORK: New X Addition Remodel — Moving Bldg. Zone - Fire Zone
Size of Lot 1Z.4 X k t Sewage System (Frnstt.c. E. c 4� �
Stories Dimensi�o�ns� 3Z I )C `tO y Total Sq. Ft 12��1 ValuaticFi �Z�% /
Rooms Baths t" Basement �/ i\ Foundation Const i a"V PC'S� Chimney Kfnd1 Fireplace Num er
IFulI, part, none
Heat. System t•-3, A Type of Roofing S t Ext. Finish SQL Int. Wall Finish 1*--11 A
Use of Bldg. ? �0-`'0-% t ��n� o. o its --`Be rooms N
cy
3 o
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2)
,proposed buildings; (4) distance to property lines and streets; (5) d
m and water supply lines.
re
NORTH
F3KG CHOW L- �V .
ify inf r
Owner o
l24'
3sl
-tit
32.1 —
150
Pr7 D' t E r
- �� 'c,A -AGE 3x` Zb
7_101
or road locations- ion of existing and
mensions oI buildings; (6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
re Heating Permit
D Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
supmitted is correct and there are no other structures located on this property except
Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT, -WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued
7 �---JtrGtf
Building Permu
The zone is.�,/.
Receipt (14,C ssued
.', Form 523 Bldg. Code