1972, 04-04 Permit App: J2482 PoolComity of Spokane. Washin ton
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
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.
s
nd
ents
ng with the land
which lareVenforcce enforceable throughrs civiluld check action. CountysOfficialsof ocanants or not bringdactionntoaenforceecovenantsior dedications.
APPLICANT FILL IN BELOW THIS UNE
Address,/`
Name of Owner
Architect f� Phone
lI Contract or�R
// Legal Desi ipt ion of Proper (Give co p,1e7
Phone 11-11/1-4 S �
Engineer � (��� Phone
Address 9n/) ,1 ' 4? �"` �f q`7X ' Phone
descriptio from dee', tax receipt, et9' 1
DESCRIPTION OF WORK: New � Addition _
Size of Lot s -,p v % x / 3 '7 "7?
Const —
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const
_.....)44„7" �((FFull, part, none)
Heat. System `-"-' Type of Ijyoofing
Use of Bldg. 067,1-.--v- iTy0
Remodel
Moving
ensions / ( rX :5 2,
Bldg. Zone
Sewage System
Total Sq. Ft. k4 L' C
Chimney
Ext. Finish
/ 1
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
Fire Zone
Stories
Valuation 0—.19190'
Fireplace
(Kind) (Number)
Int. Wall Finish
o. of Units Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit/7---L.;.(-/-e - —
IP
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted i correctandthere are no other structures located on this property except
et'as shown.
Ownerr Agent
7 --
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will bei
Sewage Permit Number
Remarks
Issued
Building Permit (; . r , Receipt_
The zone is
1shued
/1 -
Form 523 Bldg. Code