1974, 05-08 Permit App: K4512 PoolCounty of Spokane, Wasleington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 �_ f
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �I j"1
t GENERAL REQUIREMENTS PERMIT FEE I
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
®
'8 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.
MATER. 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 setback 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 /J
Name of Owner til > r-'-- Address _L -f `-b PhoneC��? g `S S-4/
Architect Address Phone
Engineer Address j• Phone 5-, 2-o Ca
r7 rJ 'Ant -r+ e Addraaa Pk.ne pie 8`/ 4�fr /
Contractor • - _ _--- . _-
Lop Dn'e tptlon of Property (Give complete dnecr pilon from dead, Fn ii*iIPl, a!{,I -'- j A` .f
a
DESCRIPTION OF WORK: Now • - Addition R8mOdt! Mooing Elddp.Zone
• Swage System
size of Lot '{' 7 13 '-
stonea`—Dimenslons ,ld;.1 R--2-•
Roomed Baths''-'-Bacomont
part, none
Foundation Conet. cie� ' —
Total Sq Pt'
Chimney
Fire Zone
Fan.? , sr , to.) Veluetl, >`l-% C-3041/�
a
Fireplace
(Kind) (Number
Meat. System , Typo of Roofing gut. Finial Int Well Finish
Use of Bldg. No of Units _Bedrooms
t
PLOT PLAN
Draw Met^ with dimensions snowing: (1) property linea; (2) etreot or road locations; (2) zonation of existing and
prepesed buildings; (4) distance to property linen and streets; (6) dimensions of building': (6) location Of sewage sys-
tom and water sUDply lines.
1 of NORTH
d
oK
neate Liconpo Ne.
Ind, Ina. Acct. No,
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby -oer ify iaformati submit and there are no other structures located on this property except
as shown. / ,� — &- — 77
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 /` 6 2 -3 C. The zone is ��
i 6erage Permit Number Issued Buildi•✓•ermit 1�l�S%), The zone
slued
Remarks
Form 523 Bldg. Code