1975, 04-21 Permit App: K7267 PatioCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99281
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT PEE �
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 Owner r ` C �' [ Address 2.-H k L t- L.; 3; S 4 Phone
Architect Address�4 7 Phone
Engineer — Address Phone
Contractor Address
gal Descripti
cription from deed, tax
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 72 A ) ! J --
Dimensions
Stories
Rooms / Baths
Heat. System
Use of Bldg.
/ ' > I
Moving
Sewage System
Basement
(Full, part, none)
Type of Roofing
Total Sq Ft ( Valuations r i .
Foundation Const. ��fVCh.[Zp Chimney Fireplace
(Kind) (Number
Ext. Finish Int. Wall Finish
No.. 4Jtt+t�-� Bedrooms
i
F
Fr., �rS c.,.,Eif etc.).z°424-.47
Cons
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
0 m and water supply lines.
m
to
NORTH
PLOT PLAN
property lines; (2) street or road locati
lines and streets; (5) dimensions of buildings; (6
as sho
eby
SOUTH
certify information submitted is
Owner or Agent
correct and there are
cation of existing and
ocation of sewage sys-
State License No.
;?,-.43 -C2 i -i2
Ind. Ins. Acct. No.
.'C7 7o0. -'J/2 5
°%372
REQUIRED
Plumbing Permit
rw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERM!? MST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Ufa l/7 )'
DO NO
Your street address will be Q{ Li / K
Sewage Permit Number Issued
Remarks
WRITE BELOW THIS LINE
Building Permi
The zone is /YC Cr7 s�
Receipt 737Issued
Form 523 Bldg. Code