1971, 02-18 Permit Application: Deck AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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.
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 Owne auress 11 unt: L
Architect Ph a gineer Phone
Contractor Address Phone
Legal De ion of Property (Give c e ' descript n from deed, tax eipt, etc.)
LO
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DESCRIPT OF WORK: New Addition Remodel Moving Bldg. Zone �— Fire Zone
• Size of Lo _ Sewage System Stories
Co nsions q y?8 Total S �- . S" 2_ Valuati' -w-�5�
(Fra o crete, brick, etc.)
Rooms Baths Basement Foundation Const. himney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Ty e of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. oA _ D� - No. of Units Bedrooms
Garage or Carport Attached Private Detatched
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
ed buildings; (4) distance to operty lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em an water supply lines.
OR H (/ State License No.
Ind. Ins. Acct. No.
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F--/ SOUTH
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ubmitted is correct and there are no other structures located on this property except
I hereby certify ' Ell ormation
as shown. h.,,
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REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent 1,17 -" Date
A LAND USE OR STRUCTURE PERMI MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
zone is
Issued Bu d' g Permit ceiptj ! I -issued