1975, 08-05 Permit App: L1064 Patio Cover•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 tb change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
ter
the surface, shouldemust rs orbe ditchesved of County Roadsthe , permissionand State ealth must bepartments. obtained froomre theork on CountygE igineer'stOfficeisturbs
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.
ents
whichlareyenforrce enforceable throughBuilders
civilshould
actionkCountysions of Officials cannot bringdedications
action toand
enforcemcovenantsior with the land
dedications.
APPLICANT FILL IN BELOW THIS LINE q 9-2/‘
ddressea� � Phone 9`-7-5/''an-3
Name of Owner
Architect
Address Phone
Address Phone
Engineer ? <i ` . Address c; t c2 V 4 Phone 9.-2
Contractor
Legal scrip iron of Proper y (Give complete description from deed, tax receipt etc.)
� , Proper
,• a e",",=.2 - iyi 6
DESCRIPTION OF WORK: New Addition -- Remodel
Size of, Lot �- °s— <2.-/.---",-/..--..--/
Stories
Stories Dimensions
Rooms = aths Fu part n
B one— Foundation Const
Heat. System Type of Roofing�=
4 e
Moving Bldg. Zone —/ Fire Zo e
Sewage Syste
r., c., Br„ etc.)
/ (J (p X / Co
Total Sq Ft /a:•Valuation
..
4-J1 A, t. Chimney �� ),Fireplace —
(Kind) (Num er
Int Wall Finish
No of Units Bedrooms
Ext. Finish
Use of Bldg,
PLOT PLAN
sketch with dimensions showing: (1) property lines; (2) street or road locations, (3) location of existing and
Dosed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
N
as saoW
SOUTH
tate icenee No.
Ind. Inc. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
mSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
hereby certify information submi is cor ect and there are no other structure located on is p operty cept
Owner �Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT. ❑.
DO NOT WRITE BELOW THIS LINE // Q
Your street address will be /cQ ' ' - / The zone is Issued
Sewage Permit Number Issued Building Permit Receipt Issued
'`° 6)
Remarks
Form 523 Bldg. Code