1972, 11-24 Permit App: K148 Patio County of Spokane. Washington
s,.�
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 enf• ceable through civil action. County Officials can not bring action to enforce covenants or dedications.
IlkJ APPLICANTCANFILL IN BELOW THIS LINE , /
Name of Owner , ►' �'� ....-!° ss u � / - 7 r%.
/ Phone
Architect Phone Engineer / Phone
Contractor / cl Q y i-cj,t d., Address Phone
Legal Description of Property (Give complwdescription from deed, tax receipt, etc.) - //
/
/ if / a GI, /—
L
V2-4— .- IL : - - -0 -
DESCRIPTION OF W R KNew Addition Remodel Moving Bldg.Zone / Fire Zone_3
Size of Lot 15 0 /SiSewage System Stories
Const. ei Dimensions /0 X c96 Total Sq.Ft. 02 0 U Valuation,',�� ,
(Frame,concrete,brick,etc.)
Rooms Baths Basement Foundation Const. ( _ V-t Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. SystemType • 'oofing Ext Finish Int.Wall Finish
Use of Bldg. � � 5 "ADP" No. of Units Bedrooms
Garage or Carport tached 4 j I Private lletatched
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.
--..&
NORTH State License No.
Ind. Ins. Acct. No.
,,966-. {7-
„
'. / REQUIRED
de-a& „ ' �� C Plumbing Permit
m* 1-6"geHeating Permit
m to vs Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
. I her by certify •nfori:tion submitted is correct and there are no other structures located on this property except
ari/shown _ / _. --1-........
`r / // 2, /�-7 L-
Owner 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 44 O Of , The zone is /.----(-516/---
Sewage Permit Number Issued / :'i fling Permit •/ Receipt sued
Remarks / ��.� 7610°
Apr' di
Form 523 Bldg. Code