1973, 04-23 Permit App: K1369 CarportCounty 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 i5 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 thestructure 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.
�1
,APPLICANT FILL IN BELOW THIS LINE
Name of Owner ( %� f_fio h/ Address /St gray MR/ 14 p/rj_ Phone I/ifi}9'J 7
f�(f$r/JI
Phone Engineer r Phone
Address Phone ,,�� ""
Legal Description of Property (Give complete description from deed, tax receipt, etc.) /CPA �',fF/' AIO *Sag
.%
Architect
Contractor
DESCRIPTION OF WORK: New Addition
Size of L',: 6
dye eaciens / S' X / v
Con•
(Fra
Remodel Moving
, concrete, brick, etc.)
Bldg. Zone / Fire Zone
Sewage System Stories 0�
Total Sq Ft (.57, y Valuation 9 GI CS•
?i Roo s Baths Basement Foundation Const. C_LQ Chimney Fireplace
' (Full, part, none) (Kind) (Number)
Heat System Type of Roofing Ext Finish Int. Wall Finish
Use of Bldg. �( Ae // �a No. of Units Bedrooms
0441 9 /-.I��� srAde�yPrivate Detatchcd
'Garage or Carport \niched
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.
NORTH
flARA. /Al pR/art
z
7
DSA/
HEW
f ---p
/
I hereby certify infor
as shown.
SOUTH
on submit
%/
and there are
Owner or Agent
State License No.
Ind. Ins. Acct. No. .
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
Da e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES EFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO WRITE BELOW T LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permit /
A73
6/
} Fr '
e zone is
o 4LC
Receipt ld-O issued
Form 523 Bldg. Code