1976, 08-19 Permit App: L5156 Carport•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992011
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 AMY
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.
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 LINE '�JI..4,� '1L '7"
fi,
Name of Owner 2J /LJ-" ' _ Address .4_ c?,/f<:5-`-' 0 Phone "`
71
Architect / Address Phone
Engineer r
Address Phone
Contractor - %j - Address f Phone
I ����7 -
Legal Description of Property (Give complete description from deed, tax receipt, etc 1 �'� -(% 7r ��'�' �f
rk A
DESCRIPTION OF WORK: New Addition
Size of Lot .5?' % f
r �
Stories __Dimensions �'- X
Rooms _L. Baths /\/:-I, Basement
(Full, part, none
Heat. System d1/A Type offtloofipg
Use of Bldg.
Remodel Moving Bldg. Zone
Sewage System A i onst:.=-4-(1- �-ti
(Fr., Conc., Br., etc.) y )
Total Sq. Ft &-•-•-:•-•--7Valuation "y
Chimney /4/4 Fireplace eVA'
(Kind) (Number
�., f.,,,.../14... /4 ' z Ext. Finish L) -I- °t-1 ¥,4-i.,'' " Int. Wall Finish N A
.';J x.ZA/,, No. of Units _Bedrooms
Fire Zone
Foundation Const 1 /,'/��
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ESIDENTIAL — COMMERCIAL
SOUTH
I hereby gartily infoy tion submitted is
as shown.
lee
Owner or Ag
A LAND USE OR STRUCT
THIS IS NOT A PERMIT.
-
correct and
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Y . _ -771
Date
RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be 1/ -7/
.,
Sewage Permit Number Issued Building Permi
Remarks
The zone isy//
Receipt 2hZL, Issued
Form 523 Blda. Code