1971, 04-19 Permit App: I4064 Patio Cover411)
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 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.
APPLICANT FILL IN BELOW THIS LINELTh
\1
t o _ Address �_ . 71� \ �l \ \ t \ m--«n-�-�-� Phone
Name of Owner
Architect
contractorG u
Legal Descrip4
130
Phone Engineer Phone
Cl,r i Sca Ina ea ACo^%Address /s/ rf £. Sp rat --9" ° �,P�hone
ion of 1P-roperty (Give complete cto escriDt ion from deed, taxreceipt, etc.)
7!VG��d.7
T 7
J•Y5 2— 06 C&
DESCRIPTION OF WORK: New
Size of Lot
Addition V— Remodel
Moving Bldg. Zone
Sewage System d /�
Total Sq. Ft. /.-Q. Valuation' .9/I (.1
Const. Dimensions X / 4
(Frame, concrete, brick, etc.)
Fire Zone
Stories
Rooms Baths Basement Foundation Const Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat System7_3 Type of Roofing
,1 Ect Finish Int Wall Finish
Use of Bldg. L/ ., / i- .477- � _ 1 No. of Units Bedrooms
Garage or Carport attached
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines a'td streets; (5) dimensions of buildings
tem and water supply lines. , RrC
c
a
(3) location of existing and
(6) location of sewage sys-
State License No.
�a3_oa—fltr
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3TH
c..-'-- rtl
I hereby certify inforst ion submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / 4 E7 Sl
Sewage Permit Number Issued
Remarks
Building Permit
.e zone is�YM
VReeeipt 3r, 51 Issued
Form 523 Bldg. Code