1972, 05-01 Permit App: J2812 Covered Patio• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f
GENERAL REQUIREMENTS PERMIT FEE sea—
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 onwater 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 1s 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
Architect
Contractor.
APPLICANT FILL IN BELOW THIS LINE
ti cf os/6
ddress - � _ .i ../ _ i Phone WA- /9
Phone Engineer Phone
Phone ,C•S_s'<//-6sc97
Address
Legal Description of Property ( 've com�ple�e description rom ded,
_4. UT 8 !3. ( I � � L' Q ,GI
ax receipt, etc.)
2/4.4‘-'
DESCRIPTION
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg*, Zone g-/ Fire Zone 'a
Size of,Lot, R9 X J 3.5 / Sewage System 4 .Gf.!' i Stories p 0
Const. ti Dimensions / / X /.� Total Sq. Ft.��S?P�Q4 Valuation /100 •
—
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const U-!}'N�Cit(7.L Chimney ^ Fireplace
(Full, part, none)(Kind) (Number)
Heat. System T pe o oofing�'�/� Ext Finish Int Wail Finish -_—
.r -t7.
Use of Bldg.
No. of Units Bedrooms
Garageor Carport Attached Private Detotched
_
R-v�P r -r11 PLOT PLAN
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.
•
N
N
29
NORTH
-/9-
PROPOSI. PArio
ANC CO V.GR
(!,4'T',4-A-6/) SOUTH
eereby cert/By information W.nb�ittgd is correct and there are no other structures located on this property except
I
as shii
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
WI Heating Permit
Sewage Permit
H
Plans Received
Plans Re
Plans Returned
Plans Picked Up
Plans Mailed
OwneAgent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be 3
Sewage Permit Number Issued Building Perm
Remarks
zone 19/y-
Receipt VS- CJ Issued
l
Form 523 Bldg. Code