1978, 07-20 Permit App: M7256 Pool•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
et.o
GENERAL REQUIREMENTS PERMIT FEE L`1'
MUM 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 47235.
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 ties
Performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OP BUILDINGS. A permit 1s 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.
APPLIC NT FILL IN BELOW THI LIN :2d6
Name of Own
Architect
Engineer
Contractor.
Legal DesC�(ipticn of Property (Give complete description from deed, tax receipt. etc.) Parcel Number
Address - —dT7 Phone i_2 -32(2--T
Address Phone
Address Phone
702"91-3
Address 2" —0//41
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: NewAddyti Remodel
Size of Lot /7-2-2
X
Stories / Dimensions 42 2
Moving BId Ztnes�.L>� Fire 'o e5
Sewage System_ /Cons
f�R(KinFr one
Total Sq Ft
288
Valuation
Chimney d Fireplace te(Nutpber l/
Rooms i9// Baths''� Basement 72 _ Foundation Const
Heat. System n 1Fulh part, none l Ext Finish
C�Guv Type of Roofiqg7L��C-/�
Hae of Bldg. _y
PLOT PLAN
Int Wall Finish
No of Units _Bedroom
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
I hereby certify
TH
q /) orm►ation submitted
/ `rylPM/14.. s/. l//�CGCaJ
er or Agent
A LAND USE OR STRUCTURE PERM
THIS 1S NOT A PERMIT.
- State License No.
Ind. Ins. Acct. No,
RESIDENTIAL.— COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked _.
Plans Returned
Plans Picked Up
Plans Mailed
7/.2 /70 e
is correct and there are no other structures located on this property except
24-7B
Your street address will be
•` Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION, COMMENCES.
DO N • T WRITE BELOW THIS LINE
�4 /I/
gilding Permit W,,/
1
Sewage Permit Number Issued
Remarks
The zone
Receipt
ssued
/
rt
Form 523 Bldg. Code