1972, 07-24 Permit App: J3895 PatioCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON_ 1
REQUIREMENTSAPPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL E IT FEE.. .......PERM..
IT REQUIRM. 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. 4.5-133 d 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 251 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
ress must be approved by the County Engineer.
Performed in accordance with stakes. Points of ingress and eg
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
l2ic.h are enforceable through civil action. County officials can not bring action to enforce covenants or dedications.
APPLICANT FILL 10 NEW. W THIS EIDE
Flame of owner _ Address Phone
Phone
Architect
Phone Engineer
Contractor Address Phone-
Legal Dy�scrl ption of iPrgArty t (dive gomplete deafri on from eed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bid& Zone Fire Zo
! -Z 0 sewage System O' a LL Stor' _Z—
Size of Lot
Dimensions ! Total Sq. Ft.cation
any
Roams_ crete, brick etc.)
GX-�r _�,,_r.v ,�.p.
"�`_....__� Chimney
-^
(Frame, cot�c
1laths Basement � � Foundation Const, (Kind) (Number)
(Full, part, none)
-int. Wall Finish
Ileac. Systems „�'�'"�_„�Type of Roofing �` Ext. Finish
Bedrooms
.� �,. -
Use of Bldg. �' � ," .. .
,� No of Units
Uara e or Carp t Attached_
PL, T 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.
State License No.
NORTH
Ind. Ins. Acct. No.
r
REQUIRED
Plumbing Permit
m
�e Beating Permit
Sewage Permit
Pians Received
° Plans Checked
Pians Returned
r��C) I
Plans Picked Up
Plans Mailed
SOUTH
I lie eb tify, i > orpiatian ubmitt is correct and there are no other structures located on this property except
as shown
ffA
Owner or Agent Date
A USE OR STRUCTURE PERMIT UST E b THE PREMISES BEFORE CONSTRUCTION C CES.
THIS IS NOT A PERMIT.
00 NOT WRITE BELOW THIS LINE
Your street address will be
The zone is
uildin ermit "" —ReceiptIssued
sewage Permit Nuffiber Issued ,
Remarks
Form 523 Bldg. Code