1975, 09-22 Permit App: L1572 Patio• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
6,iGEAPPLICATION FOR LAND USE OR STRUCTURE PERMIT /6,0--
GENERAL
NERAL 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 / t .., As Address 2
Architect Address Phone.
Engineer Address Phone
Contractor v'L(.0 mil_ - Address /� A -c,, // d �/ Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1 -C� 4 76-49-2 - 7e
m I
re.99a04, c�
Phone 9a6
E,Ro'nom l/i%, 0o'
N. /2 7, 7 ' f C. /i / 2 d,> -a GLtt 42 LGC-'
DESCRIPTION OF WORK: New a_ Addition
Size of Lot Xnk/.?7'
Storiesd_Dimensions /Ok'.00
Rooms / Baths
Full, part, none
Remodel
Moving Bldg. Zone / Fire .one
Sewage System Const
(Fr., Conc., Br., etc.)
Total Sq Ft god Valuation Li.h//
Basement Foundation Const Co-i-C-'-I�t', Chimney --Fireplace
It (Kind) (Number
Heat. System T/yppp hof -Roofing -- /� D�i //yUCi .ON�A,t Int Wall Finish
Use of Bldg. ro A/�A-' (IA-, / /.(' / letc//f/. ./'(/No of Units—Bedrooms
PLOT PLAN
Jett,:dinotax,
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
m
to
N
NORTH
RESIDENTIAL - COMMERCIAL
r Ro POS OD
PArio CavER
RO'
SOUTH
I hereby certify informati n submitted is
as shown,- /j; (/ /27/
correct and
m
a
y
(3) location of existing and
(6) location of sewage sys-
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
there are no other structures located on this
9-a2- �s
property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH1515 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be C, �//2 a-0_ The zone i /7/-Cad&C-i--C-Sektat_
Sewage Permit Number Issued Building Permit 73 t12.-Aeceipt /D/ - Issued
Remarks dK .121.14./, i-Mtt A'i1.aa-tAt)
Form 523 Blda. Code •