1971, 01-08 Permit App: I3272 Patio County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 (,./APPLICATION FOR LAND USE OR STRUCTURE PERMIT �
GENERAL REQUIREMENTS PERMIT FEE. ,i .
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building structiure 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 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 pre'isions of covenants or dedications and easements running with the land
which are enforceable through civil action. Co y Officials can not bring action to enforce covenants or dedications.
ANT FILL I BELO r IS LINEgilie cfy��e,� r
�� i. ✓ •ddress /. 40-
.., -' / Phone , -�o�Cd
Name of Own`._
Architect I �r�r. .n-` h.gineer Phone
Contractor _----7--- ----,"'--.,.' s' a 6 > s..ress Phone
Legal Description of Proper y ive c,,mplete d;.cription from deed, tax receirt, e c.)
i - —U . , . , - I r L f
DESCRIPTION OF W RK:N• Addition Remodel Moving Bldg.Zone / Fire Zone
Size of L. 77/ a Sewage System Stori s /
asv
C.•- ".f./sIi 4 0' erasions 410 /_ r Total Sq. Ft.. ..4_, Valuatioit97S--. _
(Fra de,concrete,brick,etc.) AlW
i
ROI' s Baths Basement Foundation Const. mid _ ,, _ _ A__-..., - himney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System( Type of RR000fin Ext. Finish Int.Wall Finish
Use of Bldg. Qt'SL C11 - , „ ---212--e i No. of Units Bedrooms
Garage or Carport Atta hed _ Private Detatched
' / PLOT PLAN
Draw ske ch with dimensions show' : (1 roperty lines; (2) street or road locations; (3) location of existing and
proposed buildi'gs; (4) sta opert lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water 1 p. • 1
N TH State License No.
Ind. Ins. Acct. No.
igC( ,7
4-7-4-c REQUIRED
Plumbing Permit
��/ ' m Heating Permit
m / 301
N t , Sewage Permit
Plans Received
T7-
Plans Checked
Plans Returned
Plans Picked Up -
Plans Mailed
SOUTH !� a ' .
I hereby certify information submitted is correct and there are no other structures lo ted o his property except
as shown.C Ar 2/
/ _ / 7
Owner o A� D e T
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 / If
i
Your street address will be it d _ i • . .e zone is '!- _.
Sewage Permit Number Issued Building Permit - 1-Receipt - ,ssued
•
Remarks
1 y13.- ` 1
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Form 523 Bldg. Code