1977, 09-28 Permit App: M3521 CarportCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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 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.
ANT FILL IN BE.jW THIS LINE
9'90)06
Name of Owner / f/ i .,� �i r ' . Address
Architect Address
Engineer - Address
Contractor _..-deryfryit ) Address
Legal Description of Property (Give comple a escrjptio�deed, to
rty
yL iar' ��// ",{/ dry 1 0)E
7� /`�yL",T7 U 4 '%2Lc-
0✓
DESCRIPTION OF WORK: New
(,cX/y
Size of Lot
Stories Dimensions
Addition Remodel
Phone
Phone
Phone
Phone
receip , etc.) Par l dumber S 9'
a - /i. t1 / d 4�
�gfao % ,0_,<-6. t. O ' Gv, of
�%u:��C. Qcleitr.o r �sV v
6r
Moving
X
Rooms _Baths Basement%ret-4—Foundation Const
Fu , part, none .,/
Heat. System Oti�'Pi Type of Roofing ' /-p E
Use of Bldg. t�G1.L Ai / Vas- %r cf
Bldg. Zo�e / Fire Zo i
Sewage System lY.�T Const. lank
(Fr., Conc., $r„ etc.)Cte
Total Sq Ft -- Valuation
e 0--c "ea / -e Chien-10y�/� Fire lace ' 4
IKi rid) p INu�bei
xt Finish 676-g14-4-, Int Wall Finish -� !/
'
eaCLt_� No of Units 1ro
,Bedoms ,v
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.
c--777aORTN aye_
If- ire r fere)
Resrl[ac•?i
y,
•
Gs' -
SOUTH
I hereby certify information submitted
as shown.
is correct and there
REQUIRED
Plumbing Permit
w Heating Permit
tn Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE O!T
THIS 1S NOT A PERMIT.
Iour street address w111 be
Sewage Permit Number
Remarks
at -
Date
HE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE ^/
L r F" /yn / 1\r;S (he zone is ,
Issued
Building fermi
Receipt 00�'' Issued
znC
Form 523 Bldg. Code