1975, 10-03 Permit App: L1703 Remodel CarportCoiinty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._/
4214
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
thesurface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
AGE 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 an 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 �• it •a �� ;f?�i� 1 Address
Architect Address Phone
Phonefs� —
Engineer
Contractor
Legal Description of Property (Give co
Address Phone
Address
dee
DESCRIPTION OF WORK: New Addition J' Remodel Moving Bldg. Zine / FirVone
Size of Lot `/' X /4.
Stories _L___Dimensio
Rooms /
Baths
Heat. System
Use of dg
Sewage System
/f Const.( Fr . ,
onst.(Fr.. Conc., B. etc.)
Total Sq. Ft_ C) , Valuatio
1
Fu
Basement
part, none
T •e of oofin
•
Fou dation Const
Ext. Finis
Chimney 6L/ Firepla
Int. Wall Finish
No. of Units _ Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property lines aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
woperty linea; (2) street or road locations; (3) location of existing and
AN
NORTH
= COMMERCIAL
as show
REQUIRED
Plumbing Permit
m Heating Permit
flo
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on submittedcorrect and there are no other structures located on this property except
/!f(r' Q /�•._/�
er or Agent
Date
A USE R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH NOT A PERMIT.
DO OT WRITE BELOW THIS NE j
Your street address will be ,"The zone -is
Sewage Permit Number Issued Build ng Pe mit ,Z / Receipt sued
45;:,)3
Remarks
Form 523 Bldg. Code
e
CAt VIN ROAD
•
es
25'
/2
eloci�
/4/'-Q-'
9
/4/!..2'
10
aP°E
LEGAL DESCR,PT/ N
LOT 9 9 7,V( N 4 D, Lo7g
8LOCA 5 F/f7-1v A,00/7 -/Ow
To V4 kAt)r44 E
FoR: .1'M LE/n'weeeR
414-4PBOILDING PER11r1/T ONLY
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