1976, 08-25 Permit App: L5218 CarportCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT , ;� :,
GENERAL REQUIREMENTS PERMIT FEE /"
RMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
ad or alter any building or structure already erected, or to change a land use. Construction must conform with the
okane County Building Code and Zoning Ordinance. Construction is subject to inspection.
TER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
e surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
WAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
T -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
ast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
d egress.
UNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
rformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
1VING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
ghway, clearance must be obtained from the County Engineer and/or State Highway Department.
'CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
STRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
ich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
ime of Owner
Address a Phone r X
•chitect! Address � �� — ��</ 1). r f Phone
igineer �!
Address Phone
)ntractor, y, Address Phone
gal Description of Property (Give complete description from deed, tax receipt, etc.) X / j` c >
amiww4sitiminorma iffair' i
ESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone % Fire Zone
ze of Lot l << = f �'.— Sewage System Const.
0-
u Fr., G nc., -r., etc.)
ories Dimensions / `� `, I `" Total Sq. Ft. Valuatio
toms Baths Basement Foundation Const (� t- Chimney Fireplace
Full, part, none) (Kind) (Number
Bat. System Type of Roofing Ext. Finish Int. Wall Finish
se of Bldg. No. of Units_ Bedrooms
• 4111
1. ('6- 1 c,_1 ,,r,"-:,‘,,, .:k' PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
roposed buildings; (4) distance to property lines and st• (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH ,RESIDENTIAL% COMMERCIAL State License No.
44 Ind. Ins. Acct. No.
REQUIRED
-- Plumbing Permit
J - 7,
en Heating Permit
Is
N
Sewage Permit
mi
- ` 1 - Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here b3t certify information submitted is correct and there are no other structures located on this property except
shown.
\ QOher or Agei 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
/
!our street address will be The zone is — '�
ewage Permit Number Issued Building Per t 5� / Receipt 20(iissued--
2ssue
lemarks -
Form ATI SI.ln- Cnrdw