1978, 02-06 Permit App: M4783 Carport0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6(4
GENERAL REQUIREMENTS PERMIT FEE Li"
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 ■iththe
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 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.
APPLICANT FILL IN BELOW THIS LINE
990x7
Name of Owner a SS 5o - Address ti • ,2 5 10 ORommc!rna Phone
Architect Address Phone
Engineer Address TOM Phone
Contractor vO UEASc?\ S\F�k e:„ICtQHS Sic Address G).61O 5ECO\d Phone
Leg@I Description of Property (Give complete descriphon from dee ax receipt etc.) parcel I�umber
4
1Cc�1 a�550 0906 L9 3 ock 16e‘ct\aE\
tome lb!" Rc\c\%go{n . S `x Ta 5 R 9 s.
9'QR-1759
` 6-;H-xo
DESCRIPTION OF WORK:r�yew Addition Remodel
Size of Lot /0 Y. I / S `n /
Stories / Dimensions 020 J. C7 Y. 6
N
Rooms 1 Baths Basement N Pl Foundation Const
Fu I, part, none)
Heat. System NA Type of Roofing t 4 Ext.inish
Co i e_ R - � ' • Ei\ �
Moving
Sewage System
Bldg. Zone
Total pq Ft t�
.O`QS OilCce4te Chimney
PLOT PLAN
mc
/ Fire Zone 3
CConst. Ram F
(Fr., Conc., Br., etc.) 00
Valuation o!r.Sco
(Kind)(1) ON Fireplace A
/i%A (Number
Int Wall Finish n 1
No of Units Bedrooms i v 4
w skeb'ch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
WI
WI
N
H
(
NORTH
IC611
?a1/2 -;o
Coock
i
IIS
SOUTH
t L'cense No.
,
Ind. Ins. Ace o.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
-I hereby c y information submitted is correct and there are no other structures located on this property except
�
as sbpwn.` _ s 4 .13nu n�t� - 6- 78- --- - _
C Owner or Agent
A LAND' "USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date -
CONSTRUCTION COMMENCES. -
Your street address will be i Q
Sewage Permit Number Issued
Remarks
XiL1x,°>/ The zone qao . �/QBuilding Permeceipt t Issued
Al/�1 t3
Form 523 Bldg. Code