1971, 11-16 Permit App: J1359 Poolto
Counfy of Spokane, Wcshingtsi
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION POR 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 most 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 onwater 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.
SETBACK 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 111 BELOW THIS LINE
Name of Owners s _Address phone
Architect Phone Engineer
Contractor - Address z"--7--
? 7 f/` a phone -
Legal Des*ripr ion of Proper�tx ( "V":/)92-
/complete description from sped, ax receipt, etc.) /— /��
3
/l E
i
Phone 7_2-y — 8—S
DESCRIPTION OF WORK: New X
Size of Lot /D O X J V a
Addition Remodel
Const Dimensions / 8X 3 Co
(Frame, oncre[ , brick, etc.)
Rooms Baths Basement Foundation Const
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg.
27-
Moving Bld . Zone 1-- Fire Zone`
Total Sq. Ft. (to Valuatio
Stories
ivlr 7 n•,
Sewage System
C2v--.-, Chimney
Fireplace
(Kind) (Number)
Ext Finish -
Garage or Carport Attached
No. of Units - Bedrooms
Private De(atched
PLOT PLAN
Draw sketch with 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.
NORTH / 00
I hereby cerci
as shown.
SOUTH
State Lice a No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
N
H
"0
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
--2
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
DO NOT WRITESELOW THIS LINE
Your street address will
Sewage Permit Number
Remarks
Issued
Building Permit
3-
zone 1
ceipt Issued
3L?
Form 523 Bldg. Code