1979, 03-19 Permit App: N2362 PoolCour / of Spokane• Washin won
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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. 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 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 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 111
Name of Owner �_1 - Address r,_ #e(0,
Architect / Address
Engineer Address Phone ..�!
Contractor t _� _� 1 �- _ :"./11 Address / C/ / /42/tt Phone �rj�/ i z
Legal Description of Property (Give complete des ription from deed, tax receipt, etc.) Parcel Number (t5 I�
_ I771111/41111111MIWAVIEDLAIVLI i, U�
CV Phone 22 4
Phone
DESCRIPTION OF W �fUe / /AFlditiic
Size of Lot L`j /X_
Stories L Dimensions
Rooms Baths. ,� /
Cllr!/ uI
Heat. System
Use of Bldg.
ROADWAY R/W WIDTH
Remodel
Basement Foundation Const.
I, part, none)
Type of Roofing
Moving
Sewage System
Iv --
Bldg. Zon: Fire�Z^on
Const. ( i
(Fr., CopjAr.,�jt�)/
��// Valuation //nn��//G�L/
Chimneyw4 Fireplace_'y
(Kind) j (Nu ber
Int. Wall Finish
No. of Units B drooms
Total Sq. Ft.
Ext. Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
y informa
SOUTH
St`'aL cense No.
Ind. Ins. Acct )Qo.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit 9"21 %%1 JA,
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 or Aent
Date
A LAND USE OR STRUCT E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON - REFUNDABLE AND NON- TRANSFERABLE
DO NOT WRITBELOW THIS LINE �
Your street address will be
Sewage Permit Number Issued Bui ing Permit
Remarks
the zone i
Receipt
ssued
Form 523 Bldg. Code