1976, 06-01 Permit App: L4130 Carportof S okane Wash ton
Citify p � 9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 I , ty01
APPLICATION FOR LAND USE OR STRUCTURE PERMITtC,,
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 onwater 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.
/LA APPLICANT FILL IN BELOW THIS LINE
Name of Owner t t'(/ -it %-/(- ,''"iii'.- Address
Architect Address
Engineer Address
Contractor y' ` Address
Legal Description of Property (Give complete description from deed, tax receipt, etc)-3,ltc: tG
!Li( Phone /
Phone
Phone
Phone
/•x.
DESCRIPTION OF WORK. New
Size of Lot
Addition Remodel
ft -G/ l
Moving B1d9, Zone
Sewage System
Fire Zo
(onst. ! )" /1-' '7% (_C —
Fr., Conc. Br., etc.)
StoriesTotal Sq. Ft G/4- C Valuation
k-
Rooms 1 Basement ji 0 r Foundation Const. S'IL( i-
0 rL( -( Chimney lj % Fireplace
Full, part, none l F ( ind),' (17umber
f (� �t 7b' -f-1 Ext. Finish i 1 �r Int. Wall Finish 1 ff�''
Heat. Syste I l t— Type of Roofyng
Use of Bldg 14 A -J6- 1 Gk -'1.- t it • - i, L-i'l, v< ,/_ I/ 11--,.-‘,/: No. of Units _ Bedrooms /I / 4
D
imensions
I11/4 -Baths ►i j
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 Sews
tem and water supply lines.
NORTH RESIDENTIAL COMMERCIAL -)
m
REQUIR
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 4-2-7G C ►7
I hereby ci1ti information s witted isriborrect apd there are no other structu $located on
[. �'- / 7 v1,
as shown.
this property except
Owner or Agent Dade
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
COMMENCES.
rn n .i dpi /� 1.,'. .�. ..r i
Your street address will be J- /:/7L (r .71--."'/I G
Sewage Permit Number Issued
Remarks
Building/Permit /4r 3f) Receipt 1;74,
l Issued
Form 523 Bldg. Code