1974, 04-05 Permit App: K4137 PoolCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
2 0
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 5737
Address �� 3 Phone /,9" 57
Address Phone
Phone
Phone-
Name of Owner
Architect
Engineer Address 4 ��
Contractor e_ Address
Legalription of
ert
ive complete description from deed, tax receipt, etc.)
-V-4/-- ill
DESCRIPTION OF WORK: New ✓ Addition Remodel
Size of Lot
Stories*-- Dimensions
Rooms Basement
Full, part, none)
i
Foundation Const
�LI
Moving
Sewage Syste
Total Sq. Ft
Chimney
Fire Zone
Br., etc.) .4)(
Heat. Sym? .9-x -, Type of Roofing i22_- Ext. Finish
Use of Bldg.
4
PLOT PLA
(Kind)
Fireplace
(Number
Int. Wall Finish
No.
Units,. Bedrooms
4111.
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3)
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6)
em and water supply lines.
SOUTH
fy in tion s
as
Owner or Agent
cedj,s
ion of existing and
ation of sewage sys-
Ind. I
Acct.'No.
REQUIRED
Plumbing Permi
Heating Permit
Sewage Permit
Plans Receiv
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures 1Qcg tel on tjlis property except
Date
A A" USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T IS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
DO NOT WRITE BELOW THIS LINE
Building Permi
The zone is
V,42, 1 Receipt,'j7
ssued
Remarks
Form 523 Bldg. Code