1972, 02-09 Permit App: J1829 Carport•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
GENERAL REQUIREM
APPLICATION FOR LAND USE OR STRUCTURE PERM!
E N T S PERMIT FEE __..f
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of au7
kind or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
tOUNTY 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
/
ddress �- a % Kr Phone l� '(' Y `; 7
Architect Phone Engineer...x. Phone 'r
Contractor .^�� �' Address
Legal Descripion of Proper y ive comp t descrip ion. nom deed, tax receipt, etc.)
Zr_,) -33 -�-s —1j7
CZ
DESCRIPTION OF WORK: New X Addition
Size of Lot ; •V / 6 X-
Dimensions
Remodel
concrete, brick, etc.)
Baths Basement
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg.
Fou
Garage or Carport Attacld
on
nst
Moving Bldg. Zone
Sewage System
Total Sq. Ft '/gE..)
Fire Zone
Stories
lO Ci
Valuati
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
4 ----
Ext Finish
Private Detatched
PLOT PLAN
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
NORTH
SOUTH
I hereby certif i. ormation submitted is
as shown.
co
(3) location of existing and
(6) location of sewage sys-
State Lice se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ct andthere are no other structures located on this property except
.Q
Owner or Agent 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 w
Sewage Permit Number Issued
Remarks
3 D 3
J
Building Permit
•
,
e zoneri
Receipt Issued
Form 523 Bldg. Code
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