1971, 09-07 Permit App: J0593 PatioCc r4y D,.. g. Code Dept.
' -- 7- 7 /
tZ4L I ILDMIG CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit 18 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.
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.
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
•
my of Spokane. Washington
Name of Owner --
i F :11 .moi✓I. „
ddress a t �� Phone V(/
�4H121.-77
Architect j Phone Engineer Phone
Contractor /�
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
1,,7 £ w--2/ /_3J,h . ,E,4s7' sJedtrttN, /..a ADD
Address
Phone
DESCRIPTION OF WORK: New i Addition
Size of fQX /C:2 (1,
Const -2LP Dimensions A/1 X 1Z)
(Frame, concrete, brick, etc.)
Rooms — Baths — Basement — Foundation Const
(Full, part, none)
�T a of Roof
Use of Bldg. Ajr(-C- rac-,
Remodel
Heat. System
Gar • or Carport Attached ____141h --
g
Moving Bldg,Zone Fire Zone
Sewage System Stories J
Total Sq. Ft. Ata Ci Valuation
3
Ext Finish
/K.A
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.
Chimney Fireplace—
(Number)
i,e-(Number)
(Kind) (Kind)
Int. Wall Finish
No. of Units — Bedrooms
Private Detatched
NORTH
''7rya
/ / / /// q
pRo Past= v A -I3 D,
�x1Sr/rf4/,c.Ere
Ejl Ti/VCr
!rt'4 4 E
,1.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
▪ Heating Permit
,D Sewage Permit
Plans Received
Plans Checked
c.
• Plans Returned
Plans Picked Up
Plans Mailed
I hereby .rtify information submitted is correct and there are no other structures located on this property except
as shown.„,
7- 7/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be q 6 (a
Sewage Permit Number Issued
Remarks
Building Permit
e zone is.
c7I Receipt 6 Issued 4-7--7/
Form 5 Blda. Code