1978, 10-26 Permit App N1195 GarageCounie of Spokane, Washing�n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 performea 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 building (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._
Architect
Address
Address
Engineer_ Address
Contractor V (Fall/ i ii %� �.4zZLr(Gi/ Address
Legal Des ription of Property (Givcomplete description from deed, tax receipt, etc.) Parcel Number
r 5 .� Z. et�� `-?fl f arn�z� �* t
PERMIT FEE O tcY
/; &r()
99ao b
Phone
Phone
Phone
hone 53.5-90/6
56d -
DESCRIPTION OF WORK: New V Addition Remodel
Size of Lot
.7s X 11S'
Stories_. _ Dimensions
3 2--
Rooms Baths Basement Ntbt•Jlly-
(Full, part, none)
Heat. System Type of offing
oueitUse of Bldg.
ROADWAY R/W WIDTH
Draw sketch with
proposed buildings;
tem and water supply
rn
to
Moving Bldg. Zone [ Fire Zone
Sewage System Co(FrnsConc., B etc.)
Total Sq. Ft. 76ep Valuation
Foundation Const. t^tYh�C.IZ�TI Chimney (K d► Fireplac ;NY
'&46 Y. Finish Int. Wall Finish NA -
No. of Units Bedrooms NA,
PLOT PLAN
dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
(4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
lines.
NORTH
SOUTH
State License No.
0k vN FI.
Ind. Ins. Acct. No.
IDE TI COMMERCIAL
ED
Plumbing Permit
n + Heating Permit
▪ Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/D/RG/7 8' egitAftoe
I hereby certify information submitted is correct and there are no other structures located on this propprty except
as twn.
Owner or Agent
Date
/D-a6
7�
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT W : ITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
4)
Issued
Buildin
e zone Is
Receipt t1
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