1974, 06-21 Permit App: K5029 Poolf
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 to change a land use. Construction must 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 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.
Name of Owner
Architect
Engineer
Contractor
APPLICANT FILL IN BELOW THIS LINE
1 s rO ! Address
Address
Address
Address
oZLFb
— Phone
Phone
Phone
Phone
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�p rty (Give f plete descri
s" a-P
16Y-I
on fry m deed, tax rej pt, etc )
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 7S / X / 5Z O " Sewage System Const. -
/ .4/ ` (Fr., Conc., Br., etc.)
Stories Dimensions f X .4 Total Sq. FtF? (f Valuationir( O
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Kind) (Number
Heat. System / J Type o Roofing /7 Ext. Finish / Int. Wall Finish
se of Bldg. ya`k,- c.. -L,c a -e. ,i .. y -Z4.s�� ! et-40r ' No. of Units _ Bedrooms
(Full, part, none)
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLO
AN
property lines; (2) street or road locations; (3) location of existing and
lines and st e s; -) dimensions of buildings;
(6) location of sewage sys-
1 C Qop1,
I hereby certify
as sho
'�L Vet
information
REQUIRED
Plumbing Permit
m Heating Permi
HSewage ' . it
Plans Received
Plans Checked
Plan 'e urned
Plans ked Up
Plans Mailed
ubmitted is correct and there are no other structures located on this property except
Own or Agent ', Date
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
Your street address will be 77/772c
Sewage Permit Number Issued
Remarks
Building Permit
The zone is
Receipt
523 Bldg. Code