1973, 10-02 Permit App: K2934 PatioCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -I a
GENERAL REQUIREMENTS PERMIT FEE `5::
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 thestructure 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
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Name of
Architect
Contractor
Legal D
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Phones? 4` - /J24)7
Phone
Phone
etc.) Q,t Fa 't/fres- AS -417
W ddress -
Phone Engineer
Address
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pt on of operty (Give .mplete descriptio_ fr.m deed, tax receipt
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gDraw 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.
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DESCRIPTION OF WORK: New'" Addition Remodel ' Moving Bldg. Zone /
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Size of Lat
Const.
Dimensions
(From concrete, brick, etc.)
Room Baths Basement Foundation Const Chimney Fireplace '
(Full, part, none) (Kind) (Number)
Heat. System �T/y—pe of Roofing Ext. Finish _. Int. WallFinish
Use of Bldg. �G< l — (frt ep 197
No. of Units Bedrooms
Sewage System
Fire Zone
Stories
you' Total Sq Ft / er Valuation
5.
Garage or Carport Attached
PLOT PLAN
Private Detatched
SOUTH
State License No.
Ind. Ins. Acct. No.
EQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb certify information submitted'is correct and there are no other structures located on this property e cept
as show
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Owner or Agent
/ /f
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
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Your street address will be /•
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zone is
�rRee
Sewage Permit Number Issued Build in, •ermit /1` r , ceiPt « v 1 --Issued
Remarks �{
Form 523 BIdg. Code