1974, 05-13 Permit App: K4559 Pool• •
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 connection 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 OP 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.
APPLICANT FILL IN BELOW THISS LINE /
Name of Owner S/ /I a _ Address --Phone
Architect Address Phone
Z / Phone Address
Contractor (/t-ra1Address Zezg-d — i %,� ohone €2 4f
Legal De _ ription of PropeGive complete description from deed, tax recei etc
DESCRIPTION OF WORK: New Y Addition Remodel
Size of Lot %a - N /2-e) /
StoriesCDimensions /..f k' 3S -
Rooms ._Baths ---Basement-- Foundation Const
Full, part, none) �/
Heat. System (2 Q f Type of Roofing - /1/29
Use of Bldg. SiC:2-ed.L,-_7
Moving Bldg. Zone ,J Fire Zone 3.
Sewage System '"------ Const <y�/�<+'>' :c.,
(Fr:, nc. Br,.r4t'c.1
Total Sq Ft Valuation rant')
(7nn
-.6...2.-0A--/ Chimney Fireplace
(Kind) , J2mber
Ext. F nish ,V/9 Int Wall Finish
rL/rezi. No of UnitS_,,Bedrooms _
aw sketch wi imensions showing; (1)
oposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locat o..; (3) location of existing and
lines and streets; (5) dimensions of build ngs; (6) location of sewage sys-
N
N
as show
SOUTH
y information)ubmittg4/Js cor
L/)6
Own or Agent
A LAND USE ORS RUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
State License No.
0
Indenc.,Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit \\
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
' Plans Mailed
t and there are no other structures located on
Your street address will be
Sewage Permit Number
Remarks
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
erty except
}y
DO NOT WRITE BELOW THIS LINE
Building Per
The zone is
4/vs/Receipt (oa
Issued
Form 523 Bldg. Code