1978, 06-21 Permit App: M6850 Enclose Patio•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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.
Name of Owner
APPLICANT FILL IN BELOW THIS LINE
Architect / Address Phone
Engineer Address Phone
Address
990?o ;
Phone 9,..1?— 6 26Z
Contractor Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
DESCRIPTION OF WORK: New Addition
Size of Lot / DD X / 4L 7
9x ,2a
Rooms _� Baths _._7(A (
/Basement
o1/74Foundation Const.
,t./52 Type of Roofing l
Stories _Dimensions
x
Remodel
Phone
16 74;3—/ 137
/0/ 12
/V / 57,
Bldg. Zone
Total S.. Ft / D
himney Fireplace
(Number r (Kind) (Number
xt. Finish 4.411 nt Wall Finish /t///41 --
No. of Units ,Bedrooms A//,9-
Moving
System
Heat. System
Use of Bldg.
Fire Zone
Const.
Fr., Co
Valuat
r., etc.)
on /e1'°
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property lines arid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
m
I hereby certify
as shown.
1
SOUTH
mation subm
Owner or Ag
A LAND USE OR STRUCTUR
THIS IS NOT A PERMIT.
Ind. Ins. Acct. No.
ESIDENT
L — COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
a is corr ct and there are no other structures I ated on this property except
Ln:/ 4-7
Dat
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permi
Remarks
The zone i
Receipt
ssued
Form 523 Bldg. Code