1974, 06-06 Permit App: K4847 Pool• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
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 mast 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
Name of Owner/
Architect
Contractor(.),...4_.E _- 657
Legal Desciptionlof Pr e ty2i T
)_9_c_20 9/7 7 /
one aigineerPhone z
Address 1 3 e �rtc�- Phone • .7,6-(a 9 3,
compete description domed, tax �eip/t, eta. )��wc.c.(�� / � ,y 'jL� —! f
DESCRIPTION OF WORK: New
Size of L 1
Cons ' ' ensions
(Frame, concrete, bri: , etc.)
Addition Remodel Moving Bldg. Zone / Fire Zone
j T 111
' `� Sewage System Stories
L Total Sq. Ft.„56-220 n Valuation ! Ci UC V
Rooms Baths Basement Foundation Const.
(Full, part, none)
Heat. System Type of RoofingExt
Use of Bldg. 61:75-2.1-6,—C---/-74--r/t..---
1-
Finish
Garage or Carport Attached
Draw sketch with ifim
proposed buildings; (4)
t m and water supply lin
himney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
PLOT PLAN
ensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
distance to property lines ar.d streets; (5) dimensions of buildings; (6) location of sewage sys-
es.
d-ct O T `0 0
HS e
I hereby ce
as shown.
SOUTH
y informati.. submitted i
Nen/
3.
t io
lOo,Y3
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
co g,' and there are no oti r structures located on this property except
er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address rill be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
e zone is(
Building Permit 41/ / T7 Receipt t'0)...-7 v Issued
Form 523 Bldg. Code