1972, 03-21 Permit App: J2255 Carport411111
County of Spokane Washington
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
e
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.
nd
ents
which
lareVenforceable Buildersld check
Countysions of O ficialsocanants or not bringdactionntoaenforce'covenantsing or dedithe land
cations.
APPLICANT FILL IN BELOW THIS LINE
vi02,2_,
Name of Owner fw
Phone` 2- Engineer Phone
Architect
� / , "� Phone '��/- /s7-�
Contractor ` ,�e..W tai•. i-'A'� 4 Address J( �-1 �% '*t'
Legal Descriptio of Property (Giv• complete description from deed, tax receipt,
etc.) 7
__Address -. 1qJ / - t(
c/7,0 - �/2
Phone
DESCRIPTION OF WORK: New feAddition
Size of Lo
Const. Dimensions /0 Y- a
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System Type/of Roof/in
Use of Bldg. fj-t eQ- .Cl G
Garage or Carport Attached
Remodel
Moving
Sewage System
Foundation Const.
Bldg. Zone Fire Zone
Stories
Valuation 4 7 t 0
Total Sq. Ft. .3 4 D
Bey Fireplace
(Kind) (Number)
Ext. Finish Int. Wall Finish
No. of Units Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tens and water supply lines.
!s 71
Private Detatched
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-
State License No. �y/
/606 �T�
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
[-oO ) � U"d
I hereby certify iryfor tide su mitt�Td is correct and there are no other structures located on this property except
as shot'$
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE 014 THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Permit
e zone is
Receipt
Forrn 523 Bldg. Code