1976, 11-01 Permit App: L6060 Carport1
CAnty of Spokane, Wasiagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT OL
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.
NATER. Nater 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 -/ Z416
Name of
Architect
Engineer
Owner �. /�9� ��.� Address l 3/G /i/G fid, �lJo, Phone
Address Phone
Address Phone
Agri.... ph...
DESCRIPTION OF WORK: New X Addition __ Remodel Moving Bldg. Zone Fire Zone
Size of LotC x 5�0 Sewage SystemF�nst. c. 8r etc.)
Stories Dimensions %� � Total Sq. Ft. �, ��,.�V.aluatio
Rooms Baths Basement el, /-,I- Foundation Const.412f �� -� Chimney �� Fireplace
Fu 1, part, nonce (Kind) (Num er
Heat. System sL'" Type of Roof- n e- Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units —Bedrooms
PLOT 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.
as
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
In
a
fA
State License No.
Ind. s. cct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby _'taffy iagrmation iulmitted/ir q� rrect and there are no other structures located on this property except
4
/ Owner or Agent D&
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCE.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
[__... S74 9%IA- C-4.
DO NOT WRITE BELOW THIS LINE
The zone s
Issued Building Permit �i�O C Receipt ssued
UAP SHOWING LOCATION OP RE13IDENCE ON & BOUNDARIES Or
MON
1 ilor.k 2 SlL&S J01i I IS ADDITI014
Til -XT TRFMdr 0D 01aClihii!)"
ADDITION
. -
in th( C1-,TT-Q7-VT0== COUNTY OF SPOKANE, AND SPATE OF WASHINGTON.
Extra charge for setting LOT markers. Survey for Loan purposes.
Sea* I" = 20 rt, Surveyed:
I hereby certify that I surveyed the above described property and that I find the improvements to
be on the promises in question and tliAt they do mot Gjj#;.r=ch on the property lying adjacent thereto—
EXOEPT:
NO improvements encroach on these promises—Ex0ept:
PHILIP L SARGEN'
OWNER or BUYZR
Registered Laisd Surveyor
Phone FAirf&Ax 5-3664
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