1971, 10-15 Permit App J1018 Remodel PatioCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9940
APPLICATION FOR LAND USE OR STRUCTURE PERMIT&b�th�'
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GENERAL REQUIREMENTS PERMIT FEE...__....._.PERMIT REQUIRED. A land use or structure permit is required byCounty Resolution to erect a building or strut kind or alter any building or structure already erected, or to change a land use. Construction most con rm
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■ater tom ions d/1sb
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Eogineer's Officf.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.2„'5.
SET -BACK PROM 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 provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to e9rce covenants or dedications.
APPLICANT FILL IH BELOW HIS LINE
Name of Owner _Address Phoney��!'-3
Ph
Architect __. one _ _ _Engineer Phone
Legal Descr ption of Property (Give complet description from dee tax receipt, etc.)
/ �/ � / c I -) G� / _ _( - J 9l i _
DESCRIPTION OF WORKZ-: New7J Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lo[ ' Sewage System Stories
Const. Total Sq;g li Dimensions
(Fr _. Ft. _ J Valuation 2,�i_
(Frame, concrete, brick, etc.)
Rooms_ Baths _ Basement Foundation Const. C,'fy 6e',' Chimney Fireplace
(Full, part, none) - (Kind) (Number)
Heat. System Type ofofing Ext. Finish Int. Wall Finish
Use of Bldg. —No. of Units Bedrooms
^%/C,aaha/rage or Carport Attached
Private Uetatehod
L
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.
NORTH
State License No.
Ind. Ins. Acct. No.
p io—iG-7/
VU
P n t
rw Heating Permit
Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her certify info oration witted is correct and there ere no other structures located on this proDert except
as shown.
�—
oar or Agent Date
ALAND USE OR TRUCTURE PER IT M ST BE ON a HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERM17,.
Your street address will be
Sewage Permit Number
S21 ala.. r_.
DO NOT WRITE BELOW THIS LINE
e zone is
Building Permit Receipt slued
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