1972, 06-09 Permit App: J3323 CarportEM
•
BUILDING COVES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99509
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6�
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 mast 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 nater 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 Eegineer 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 .TRIS LINE
Name of Owner -------Address _ 4 Phone
Architect Phone Engineer Phone
Contractor a Address Phone _
Legal Description of Property -(Give complete description from deed, tax receipt, etc.) o P .- :*/61'-00 �—
DESCRIPTION OF WORK: New Addition � Remodel Moving Bldg. Zone _L----
Fire Zone
Size of Lot ce !2 Sewage System Stories
Const. F� Dimensions r� �� Total Sq. Ft. 0 _Valuation d
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const. eo'g2=^ n Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Roo;ing Ext. Finish Int. Wall Finish
Use of Bldg.
Garage or Carport Attached
No. of Units
Private Detatched
Bedrooms
3
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
M
4A
—1
I hereby
as shown.
NORTH .
r4�
z
7 i�l
7
W ...
State Licensee o.
Ind. Ins. Acct. No.
REQUIRED �
Plumbing Permit
w� Heating Permit
Sewage Permit
M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT 1.
MUST BE ON eHE..PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
/J� r
Your street address will bee zone is
sewage Permit Number Issued Building it Receipt Issued
Remarks f —
Form 523 Bldg. Code