1974, 05-16 Permit App: K4626 Poole
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
•
APPLICATION FOR LAND USE OR STRUCTURE PERMIT t*
/ �
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.
WATER. Water supply must be approved by the County and State Health Departments. Where workonwater 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
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.
or State
APPLICANT FILL IN BELOW THIS LINE
Name of Owner J. - .G�- a w Address
Phone
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal scr ptio, of P pertomplete description from dee tax receipt etc.) 0 9
9�5 /G ae-
DESCRIPTION OF WORK: New Addition
Size of Lot r`� x )1/0
Remodel
Storits--Dimensions /6 Y 3 Z -r Total Sq t Valuati
Ros Baths (Full,
separnone) Foundation Const- Chimney (Kind) Fireplace
lNumber
Moving
Sewage System
Heat. System Type of Roofin '---� Ext Finish
Use of Bldg.�a-<-..
nt Wall Finish
No of Units _ Bedrooms
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.
gL
®NORTH
SOUTH
State Li en o.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
tn Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cernify information submitted is cor d there are no other structures located on this property except
as shown. ,/
CIL—) / — ,Y
�Xl Owner ortlAg✓e`ntt "-�� Date 6
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Tour street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is C -p
Yi.AtecelptG Issued
Form 523 Bldg. Code