1979, 03-22 Permit App: N2296 Pool•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201.
LJv'�
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 most 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 Stat iighway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may note 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
�r/t'/ U/P/, C % 4, 4 Address - 9'7/ G' �1/ 9) f/i
i/ r Phone q✓� -/'6S'
Address Phone
Address t lJ(l 7' -?'/O Z'Phone
Address i'(%ii/i//%� vevaiiiieet,''' Phone
Name of Owner
Architect
Engineer
Contractor / X)(?( /IXLS, 5,66424/‘
Legal Description of Property (Give complete description fro
fel,/ fz��v S7 -47T c- ,46
44; 6 n c
deed, tax receipt, etc.) Parcel Number 4.44/7i.
.LUT �7
DESCRIPTION OF WORK: New X Addition
Size of Lot LAX ' L' A f P
Stories .=Dimensions
Rooms — Baths---- Basement
(Full. part, none)
Heat. System Q/95 Type of Roofing
Use of Bldg. 3'41/ 'r,107/ C 0/2/13/
Remodel
Moving
Sewage System
Foundation Const.
Total Sq.
♦ 1G Li i 4. ILL
Ext. Finish
/7/3 6 U i✓.9'-
Bldg. Zone/ Fire Zone
5eer'G onst.4LO..L2L1-'rL
(Fr., Conc.. Br., dtc.)
Ft L'/ ''Z Valuations`/d, kee7•
Chimney `— Fireplace
(Kind) (Number
Int. Wall Finish /-1,/!//4
No. of Units ..Bedroom's
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.
NOR'T1
O1H
I hereby certify information submitted is correct and there
as shown.
State License No.
CM.' /4--
Ind. Ins. Acct. No.
CRESIDENTIAJ. COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3/.? 93/ 7 f slEor.v.w
are no other structures located on this property except
tr
Owner or Agent 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 be)2.
(e_t',
Sewage Permit Number Issued Building Perm
Remarks
The zone isSti) �i. Cj L1 �iL , lC
Receipt 7bF// Issued
form 523 Bldg. Code