1974, 05-08 Permit App: K4514 Pooli%
• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITtIT
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 and47.235.
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
Dj
Name of Owner
Architect Phone Engineer F Y
Contractor pp h'")'/�' ��J'G
04:d e Address �' ZJ L=.
,
Phone
Phone
Phone f�
,2
olpl
Legal De rip ion of Proper y Gi oete des ri ion fro eed, tax receipt, etc.) ' f .. -
Whigr
DESCRIPTION OF WORK: New
Size of
Const e Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths
dition Remodel Moving Bldg. Zone / Fire Zone
Sewage System Stories
Total Sq Ft SO (7 a Valuation a/ 3s-0 O a0
211GP 1
Basement
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg/2....41 .
Foundation Const
�w Ext Finish
• ,./
y Fireplace
(Kind) (Number)
nt. Wall Finish
s Bedrooms
Garage or Carport Attached Private Uetatched
PLOT PLAN
Draw sketch wi£h-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. ��—
)lY em NORTH
m
ti
��At ` %ter u 3'g
I hereby certi
as shown.
SOUTH
ormation submitted i torr
Owne or Agent
7
State Licensg No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
. Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nd there are no other structures located on this propert except
ate
A LAND USE OR ST UCTURE PERMIT MUST BE ON THE PREMISES BEFOR CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT..
DO NOT WRITE BELOW THIS LINE
Your street address will bei 2 0
Sewage Permit Number Issued
Remarks
Building ' ermi
.e zone is C
R oe1pt
ssued
Form 523 Bldg. Code