1977, 04-18 Permit App: M1440 Carport•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
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 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 47235.
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 OP 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 1N BELOW THIS LIN/E 94020
Address .S /7 "G U/i42O Phone 07
Address Phone
Address Phone
Address Phone
Legal Dew' tion of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 195`/3 — /4003
Name of Own
Architect
Engineer
Contractor
3.
.2 (
✓�L
DESCRIPTION OF WORK: New Addition Remodel Moving
Size of Lot %.S k % lV' Sewage System
Stories / Dimensi s Ile, X aL ?)
Rooms Baths Basementhn_ Foundation Const
Fu I, part, none
Heat. System f7) sL Type of Roofing
Use of Bldg.
Bldg. Zone Fire Zone
)4ik L '
Total Sq Ft ` Ii
e�2 Chimney l Al fireplace
( mdl (Number
�
Ext m1 Int. Wall Finish
/�
v •L -4101.0..,6-4-6 ,r.�0 No of Units Bedrooms
Inst.
r., Conc.,
Valuation
r., etc.
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.
m
N
H
NORTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cVify for tion submitted is correct and there are no other structures located n tth ss property except
er �J��'99 fr 27
as sbown�
Agent
41/3
A LAND USE OR STRUOrURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Tour street address will be
Sewage Permit Number
Remarks
DO NOT W
TE BELOW THIS LINE
rr4
Date
CONSTRUCTION
5/,46
/The zone
Building Permit i' Receipt
„45"--/6. -77
- /* i
is
COMMENCES.
Form 523 Bldg. Code