1973, 04-26 Permit App: K1458 PoolCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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.
APPLICANT FILL IN BELOW THIS LINE
(P)
r�
Name of Ow
ddress
Architect
Contractor
LegalDesc iption 9f,Prop raGiv complete descri tion�o ed,tax r eipt, etc.)�C«-cw..04 0 %-5 3 y
/[ 'le- t
Phone
1 / r
Phone, 262 -6)-7 f L
Engineer FJ �� ��f� Phone i
Address (9-7 '7-3 �a�'_ Phone 9 )47 -09 3 j
DESCRIPTION OF WORK: New
Size o
Addition
Remodel
Moving
Bldg. Zone Fire Zone
Sewage System Stories
ConsbL' ^+ Dimensions 1_10_,,N__ 2— d Total Sq. Ft. ,..6. 0 Valuation / 80,'2 66
(Frame, concrete, brick, etc.)
Foundation Const. Chimney Fireplace
(Kind) (Number)
Ext. Finish Int. Wall Finish
No. of Units Bedrooms
Rooms
Baths
Basement
(Full, part, none)
Heat. System Typ of Roofing
Use of Bldg. `ZL�''""'��+
lrage or Carport Attached
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
NOR
Private I)etatched
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-
-67
SOUTH
I hereby certify information submit ed sorrect
as shown.
ner or Agent
m
and there are no other
State License No.
2 3 —01 —/31/6
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this
Date
7_3
property
except
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 !�
Sewage Permit Number Issued
Remarks
Building Perm t
e zone is
Receipt
1i5ri
ssued
Forin 523 Bldg. Code