1977, 05-11 Permit App: M1242 CarportCdanty 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
kind or alter any building or structure already erected, or to change a land use. Construction must
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 isturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Offic
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.
A f' n APPLICANT FILL IN BELOW THIS LINE
Name of Owner /4 - fi /Tr' IC �.2J / Address1_12.13_1i± 1 - dr.✓ Phone
structure of
conform with
any
the
7<
Architect Address Phone
Engineer /, VAddress Phone _
Contractor 17/,,` .ud- .c4t f1) Address e�Z tj -► Phone
Legal Description of Property (Give complete description from deed, t receipt, etc i rr CM - e it /0 ,� a / - Q' l
®4 / /-- d- ./..-4-4/.., rte %.7
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 130 1 3 '7 ' Sewage System,//4 onsti- ->,-0 •
/76 Valuation
(Fr., Conc., Bs. 1.p
Total Sq. Ft Valuation
Stories __Dimensions
Rooms BathsBasement Foundation Const.,eC` rase -e-, Chimney Fireplace
(Full, part, none) (Kind) (Number
Heat. System Type of Roofi g Ext. Finish Int. Wall Finish
Use of Bldg. et./4. �� 1:_ .� No. of Units _ Bedrooms
V3'xas'
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.
NORTH
RESIDENTIAL - COMMERCIAL
.1-tiAJ)
ye)i, ,,,//
pt,7
SOUTH
State License No.
33- 01 -,2y 0
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certjfy information submitted is correct and there are no other structu es lo ated on this property except
as shown. X , /
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
i
DO NOT WRITE BELOW THIS LINE
/
Your street address will be .21 Q / 1 t, --77-714,Z -" The zone is i04iele, 7-......-
Sewage
�Sewage Permit Number Issued Building Permit /22- Receipt99-7 4 Issued
Remarks
Form 523 Bldg. Code
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