1972, 07-21 Permit App: J3823 PatioCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 111 BELOW THIS LIFE
y = o tv
Name of Owner Al - _ "0 __Address :7 ij � �! Phone 1 { /A -t,,-,q917
Architect Phone
Engineer
Phone
Contractor j!,� 'vLaL_ Address /J Phone
__ —
Legal Description of Property (Give complete de cript(son from deed, tax receipt, e ) ! -a{ j / a �- �/ d
c=
- Vic- r��' %4t 1�C
DESCRIPTION OF WORK: New Addition 1— Remodel
Size of Ist 1./4)(47.9.4 -
Const --;-Z472- kilt_
i,k/cZ2jConst Z4i2-kilt_ Dimensions
(Frame, concrete, brick, ete.) / �J
Rooms Baths Basement ---- Foundation Const
(Full, part, none)
Heat, System ___. ype of Roofing
Moving Bldg. Zone
Sewage System
Total Sq. Ft. 1 / •.
Use of Bldg.(. -+t
Garage or Carport Attached
Fire Zone
Stories
Valuation. S v C
Chimney Fireplace --
(Kind) (Number)
Int, Wall Finish
No. of Units Bedrooms
Private Detatched
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
as
NORTH
APO/r/'
L'Cvc"�'Ei)
PA 1-7
1"5 -
SOUTH
I hereby certify informations fitted is correct and there are no other structures located on this property except
shown. _ '—;
Date
/26'
State License No.
(,) Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent
A LAND USE CSR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be'rhe zone ase
Sewage Permit Number Issued Building Permit Receipt ' 3 �� Issued
Remarks