1974, 07-03 Permit App: K5153 PoolCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT k, °�
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 14/I4/1...-C-
APPLICANT FILL IN BELOW THIS LINE
Address
Address
Address
Address
iq
3
Phone �7 ���� 7
Phone
Phone
Phone
Legal Legal Description of Property (Give complete description from deed, tax receipt, etc) /r �i [�1 L %e -4_3
kb T/7 NI- Au
zr. g? 131- A' sv 13
DESCRIPTION OF WORK: New X Addition
Size of Lot •7;SX i52
Remodel _
Stories _Dimensions
i.i T
Rooms '--° Baths °~ Basement Foundation Const
(Full, part, none)
Uset. System t' _ Tofing _ Ext. Finish
Use of Bldg.
13/./•CS .s - ,'r -/Q
Moving Bldg. Zone Fire JZone
Sewage System —' Const
(Fr., Conc., Br., etc.
Tota� Sg±Ft Valuation 440e14
PLOT PLAN
Draw sketch wltf( 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.
himney Fireplace
(Kind) /7 (N tuber
Int. Wall Finish
No. of Units _ Bedrooms
m
Vf
NORTH
pf i'ti5.ED
pea
,Ex /.srmAtt-
I hereby cer ify
as shown
SOUTH'
on sutsmi
4UCi,,ST A RD
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Owner
A LAND USE OR ST C
THIS IS NOT A PER IT.
Date
IT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
7
Your street address will be 7 7/4 c' ( /".4,14.-
Sewage Permit Number Issued Building Permit
Remarks
CC The zone iq� ,e2a t44- 41,Get--
J44J�teceipt 4.,..41e-1 Issued
Form 523 Bldg. Code