1976, 0-26 Permit App: L3551 Remodel Carport•
my of Spokane. Wasigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT/ U
GE ERAL REQUIREMENTS PERMIT FEE N
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.
APPL
ICANT FILL IN QBELOW
THIS LINE ::> 7
Address ---5— - .Phone/c '�-S� —::":1Y/r°
Name of Owne
Architect Address Phone
Engineer
Contractor
Address Phone
Address Phone
Legal -Descriptiipn off Prop (Give complete description fro deed, to eipt,.etc )
DESCRIPTION OF WORK: New Addition
Size of Lot
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X
Remodel
Moving Bldg. Zone
ewage System 2
Stories / Dimensions c"."1
3
Rooms Baths Basement
ull, part, none
Heat. System Type of Roofing
Q. foundation
Const.
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Fire Z e
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(Fr., , Br., etc.)
Valva n s'''6, ° -
Chimney Fireplace
(Ki d) (Number
Total Sq. Ft.
Ext. Finish
PLOT PLAN
Int. Wall Finish ��
No. of Units _ Bedrooms
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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NORTH
RESIDENTIAL COMMERCIAL
as shown.
SOUTH
�y information submitted is c
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
ect and
State License No.
Ind. Ins. Acct. No.
REQUIREDUI
Plumbing Permit/ 1 -4- - e
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ere are no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be e //:,..52//// 1.-�� �U
Building Permit `)
Sewage Permit Number
Issued
The zoneiy�Ga1�`� /�;'
Receipt Z Issu
Relarks
Form 523 Bldg. Code
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