1974, 06-27 Permit App: K5085 Patio, Basement0 V
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT dy
GENERAL REQUIREMENTS PERMIT FEE .--_ do ----------------
PERMIT
_ --..............
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
SE'%BACK PROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, oT 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 states. 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 LINE
Name of Owner ddress Phone
Architect Address Phone
Engineer,Address Phone
Contracto ' Address �- ne
Le I Descr!pflon of P rty (Give completed cri tion from deed, tax receipt, etc.)
ile o
DESCRIPTION OF WORK: New
Size of Loth
Addition
emo el Moving
i
Sewage System
Stories Dimensions U Total Sq
Rooms Baths BasementFoundation Const..
Full, part, non�—
Heat. System
Use of-Bldq.
Bldg. Zone Fire Zone
ns
Fr.o, one r., etc.) .
Ft. �� (L� Valuation da
ChimneyFireplace
(Kind► (Number
_ Int: Wall Finish
No. of Units —Bedrooms
TTL/" TLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
(3) location of existing and
(6) location of sewage sys-
NORTHIf State License No.
079 Ind. Ins. Acct. No.
cQ-Q °�' REQ IRED
PI �tm in Perm
m IleRAH COU 1"Y PLANNING CO.MMISSI(
ating Perm
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Sewage Pe it p
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Plans R
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Plans Ret nd
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I hereby cer ify.. information submitted is corr'ec indthere a e no other structures located on t is property except—
as
xcept—
as shown. _ � /,� � _a
c t/ Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
�R
THIS IS NOT A PERMIT.
Im 523 Bldg. Code
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