1972, 05-16 Permit App: J3023 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 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.
Name of Owner /l'ir.'011%
Architect _ ' Phone
Contractor
Legal Descrijo ion of Prop %
APPLICANT FILL IN BELOW THIS
Address Phone
engineer Phone
Address Phone
ive complete de ption from deed,
tax receipt, etc.)
.2-37/7
-7/ 6,
DESCRIPTION OF WORK: New
Size of kyt / 9e
Const. Dimensions j
(Frame, concrete, brick, etc.)
Rooms—/ Baths Basement Foundation Const
(Full, part, none)
Heat. System Type of Roofing,. --i Ext. Finish
Use of Bldg. A`,6,
Garage or Ca rt Attached
Addition li Remodel
Moving Bid Zone % Fire Zone
Sewage System Stories
Total Sq. Ft. 0Ch 0
7 D Valuation 9S
3
LC
Chimney Fireplace
(Kind) (Number)
(fit.42 Int. Wall Finish
No. of Units Bedrooms
Private Uetatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
PROP05P
epgr, i CovE/?
SOUTH
I here certify informationsubmitted
as shown.
is correct
and there are
tate License No.
Ind. Ins. Acct.o
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
no other
Plans Received V
Plans Checked V
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this
property except
7i
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
0 NOT WRITE BELOW THIS LINE
Building Pe
e zone is
Receipt
Form 523 Bldg. Code