1973, 06-04 Permit App: K1897 PoolCounty of Spokane. Washington
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
/ 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,
oerformed 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 1s moved on a Count 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 separatee
permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceablethroughcivil action. County Officials can not bring action to enforce covenants or dedications.
-f - APPLICANT FILL IN B LOW THIS LINE
mR! of Owner
_ _i a Engin r Phone
Contractor
Architect
Address
Legal Description
of Pro erty (Give co 1plet�e desc1iption from deed, tax Dreceipt, etc.)
- s ! — L1 - 1 . co
a t"a 0 a, j ,4 a) .t r lZ, ated •
Phone Inec9--79-5/
O9Sy/- a/Or
DESCRIPTION OF WORK: New Addition ✓ Remodel Moving Bldg. Zone J Fire Zone
Sewage System Storms '
Total Sq / D Valuation L-1-'940 0
i
Rooms Baths Basement Foundation Const 4 ' ' / A-_�.r i - himney Fireplace
(Full, part, none) - ir 7�;,;_i / - (Kind) (Number)
Heat. System Type of Roofing // Ext finish Int. Wall Finish
Use of Bldg.
71-f� �y�-ou-(' -• No. of Units Bedrooms
Size of Lot
Const.
Dimensions O l /?/ }( Y 3/
(Frame, concrete, brick, etc.)
Garage or Carport Attached Private Detatched
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.
m
-1
NORTH
State Licg6 se No.
Ind. Ins. Acct. No.
-€-4 - ia_/ 7 3
REQUIRED
Plumbing Permit
n. Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned °Jf
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there' are no other structures located on this property except
as shoe
2-S- 7.5
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be//
j77 c
The zone is
Sewage Permit Number Issued Building Permit My Receipt ssued
Remarks
Fa_m 523 Bldg. Code
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