1976, 04-16 Permit App: L3455 Patio CoverCounty 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 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 _ V §,ry-/9,.iiAddress /9/'
Architect Se -ecru -v Address
Engineer Address
Contractor '' Address A— `^
" Phone _
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
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Phone
Phone
Phone
DESCRIPTION OF WORK: New
Size of Lot '5%t / �` p
/
Addition Remodel
Stories.. _Dimensions /Ai X >�
Rooms Al 4- Baths N A Basement i':'{
(Full, part, none)
Heat. System
Use of Bldg.
Moving Bldg. Zone f Fire �one 3
Sewage System tVA �y+onst.• �'X•r<-%'4L4
j (Fr., Conc., Br., etc.)
otal Sq Ft . - f Valuation ' Vic) v
Chimney t A. Fireplace st,f At
(Kind) (Number
'•L ci' ✓f --'Int. Wall Finish A( A
No. of Units _ Bedrooms 0 /4
Type of Roofin
11.e r.C.i' (,
Foundation
-i
t4/ Ext. Finish
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines;
proposed buildings; (4) distance to property lines and stree
tem and water supply lines.
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NORTH
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4•,6 . xiS.—tvri-
— eg-610rnee.
OZZA
I hereby rtify information
as shown.
(2) street or road locations; (3) location of existing and
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dimensions of buildings; (6) location of sewage sys-
RESIDEN COMMERCIAL
SOUTH
witted
// Owner or Agent
A LANDqJE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S N` T A PERMIT.
correct and there
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a
State License No.
NO/ lf-1,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other struclures located on this property except
V7A
Date
DO NOT WRITE BELOW THIS LINE
Your street address will be 1/ Si/j ? L –{� , The zone iss ' "Ll., GLZltti
Sewage Permit Number Issued Bui ding Permit c�( .Y.S S Receipt Q Issued
Remarks
Form 523 Bldg. Code