1979, 04-16 Permit App: N2672 PatioCoup#-# of Spokane, Washing -Lon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 performea 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 building (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 IN BELOW THIS LINE
Name of Owner Address �Phone _.
Architect . Address__ Phone
Engineer_
Address QdL d G Phone
Contractor o .-
"At r s�2 u ZZO Phone
Le I Description P operty (Give compiniclescription from deed, tax receipt, etc.) Parcel Number- ` C a—,7 — 4 -0 's
DESCRIPTION .OF WORK:� Newt/ � Addition Remodel Moving Bldg. Zone .f Fire Zone
Size of Lot � Sewage System Const. -
(Fr., C ., Br., etc.) a ��
Stories Dimensions r x4 al Total Sq. Ft. L ValuationLf C19
Rooms Baths (FullB se en none) Foundation Const. Chimney (Kind) Fireplace—
Rooms— Number
Heat. Systems Type of Roofing Ext. Finish ... Int. Wall Finish
Use of Bldg. (�GL�� �jj�2�� /S ��—��� �' No. of Units Be rooms
ROADWAY R/W WIDTH
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;V61ocati,
ti of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildingsof se ge sys-
tem and water supply lines.
NORTH State Licen e Nc.
Ins. Acct .
JvL� R ENTIAL -COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
M 1D
u, Sewage Permit
.r
t / Plans Received
�ao Plans Checked
J p'D Plans Returned
/ L Plans Picked Up
Plans Mailed
SOUTH
I herebvc ti y form io submitted is correct and there are no other structures located on this property except
as shown. I
ner or Agent Date `T
A LAND USE OR STRUCTURE P MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERM S ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be a zone is
Sewage Permit Number Issued _ Building Permit Receipt 4', -5w0- -Issued
Remarks i