1972, 04-28 Permit App: J2781 CarportPr)
•
County of .Spokane, Washington __
BUILDING 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 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 Nm, 45-133 and 47.225.
,SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the tront 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.
Phone 92,?2
Name of Owner
Architect
Contractor.2
Legal Des-ri
APPL CANT FILL 111 BELOW THIS LINE
hone Engineer_ a Phone j
Address # Phone pair f
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mple e d'scription fr,.. •aax d, t.ce .t etc.) Ale err/� alra r rail. at
f - ia'1%
AccP, 16644 - dila&
DESCRIPTION OF WORK: New L/ Addition Remodel Moving Bldg. Zone Fire Zone
Sewage System Stories °O
Cons
Size of of /Fre X // in/
Dimensions �� K 4 Total Sq. Ft. g(] Valuation /%�O
(Frame, concrete, rick, etc.)
Rooms �— Baths '-- Basement
Foundation Const
(Full, part, none) /p -
Heat. System Type of Ro. ing <2- Ext Finish
7
Use of Bldg.
Chimney — Fireplace —
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
G ordge or Carport Attached
Private Det etched
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.
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SOUTH
State License No.
OK 22S-o/-GC27
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
subto s correct and there are no other structures located on this property except
Owner .f Agen Date
A LAND USE OR STRUCTURE PERMIT MUST BE.ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
DO NOT WRITE BELOW THIS LINE -
Your street address will be
Sewage Permit Number Issued Building Perm
Remarks
e zone is14-Ctiit'.cm``4'GGt;
Receipt Issued
Form 523 Bldg. Code