1973, 08-14 Permit App: K2505 PoolCounty ®f Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 994
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT e -D
GENERAL REQUIREMENTS PERMIT FEE..__..__L.................
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 Bork 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 ddres PhonaSl���
Architect Phone gineer Phone
Contractor Q Address � Phon y- "
Legal Description of Prope y (Give complete description frem duce t receipt, etc.)
DESCRIPTION OF
Size of Lot..
Const.
(Fram oneret
V_
WORK: New. Addition_ Remodel Moving ��4
dg. ZonFire Zone
�0 -7 �{ ,/ % � � � Sewage SystemStories
rs imensions '5—,�_� 2_57 Total Sq. Ft. ion 6(:::� 67 42a-
-ick,
--ick, etch.)
L Basement �Foundation Const. Chimney � � Fireplace —�
(Full, part, none) (Kind) (Number)
Type of Roofing Ext. Finish --- Int. Wall Finish --��
Use of Bldg. I Z j, 51
Garage gr Carport Attached
PLOT PLAN
7Draw sketch with dimensions showing: (1) property lines; (2), street or road locations; (3) location of existing and
,oposed buildings; (4) distance to property lines aid streets; (5) dimensions of buildings; (6) location of sewage sys-
D
em and water supply lines.
N 41 N
SOUTH
Plumbing Pei
Heating Pern
Sewage Perm
Plans Receive
Plans Checke
Plans Return
Plans Picked
Plans Mailed
ereby certify information submitted is correct and there are no other structures loca d on h property except
as so
Owner or Age n Date
A L ND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CON RUC ON COMMENCES.
THI IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Yo street address will be a zone i
Sewage Permit Number sued Building Permit v Receipt 0•/ Issued
Remarks
Form 523 Bldg. Code