1975, 08-11 Permit App: L1124 Carport County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (1
�
GENERAL REQUIREMENTS PERMIT FEE /O
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.
APPLICANT FILL IN BELOW THIS LINE
`_�iName of Owner !L _- [7 , .JL.,n. Address ///U c �7 Phone (2)G '✓3
Architect - Address Phone
Engineer — ,} Address Phone
Contractor f if $/a-{i Address S 6----)"" { _,---' Phone
Legal Descrytion of Propert (Gi e complete descri.tion from deed, tax receipt, etc.) 4' y _
_ i/ `- / / /' .� _ > - - - f
40011/11P- .
ffir-
_ .IMOMIZIIIM , _
DESCRIPTION OF WORK: New Addition ./ Remodel j MovingBldg. Zone / Fire Zone
Size of Lot /Q(- )L<'./ ,S—
Sewage
Sewage Sy toj etc.)�FrnSConc2� _
Stories / Dimensions "�i c.U -____ Tot3l Sq. Ft., _V r., Ci.c., ., \\
Rooms Baths Basement Foundation Const. � �4 /� Chimney Firepl:ce " /i U
o2U
(Full, part, none) (Kind) (Number
Heat. SystemType of Roofing _ v xt. Finish Int. Wall Finish
Use of Bldg. `f _e2A ,--0,.7,---. - At No. of Units_Bedrooms
71
t PLOT PLAN
dw (1pe (2) street l ) location d
„v/
proposed Draw buildings;sketch with(4)imensions distance toshopropering: ty) linesropartynd lines;streets; (5) dimensionsor road of buildings;ocations;
(3(6) location ofof sewageexisting sys-
an
tem and water supply lines.
NORIIL State License No. ^
�/I (/1 -4- Ind. Ins. Acct. No.
_ REQUIRED
Plumbing Permit
( l d l' rn Heating Permit
Yr' 4 r` _ k..(� N
_ Sewage Permit
Wil^ L of \\
� , moans Received
Plans Checked
74 C(/ Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I by certify .4"ormation bmitted is correct and there are no other structures located on this property except
as sh.# �t 8/`�//7 3
/: ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE ,--/
Your street address will be - / The zone The is '..fes
Sewage Permit Number sued Building Permit• //a, Receipt A/ ‘#Issued
Remarks1-.Q •Cu�-L - 7 ,' 7,,x_s2- o1-'7
Form 523 Bldg. Code