1973, 06-06 Permit App: K1906 Pool® •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201,
APPLICATION FOR LAND USE OR STRUCTURE PERM! . r
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 onvater 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 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 INNp BELOW THIS LINE q _O
Name of Owner 1 r ♦ dSr$A.) y J Si/_S,(S-S' nom_ phone / -22;3 ;f
Architect Phone Engineer ��� Phone
Contractor i,�, ,,. 6 Co - Address it1I!'Sir= r - ' Phone i/
Legal Description of Property (Give complete description from deed, to receip etc. /IL -i / fT / ;4.13 / _(o v / — 4; • / 7 ra / Q �' f o-rD 44-'1/4 Vt/ )4/,
DESCRIPTION OF WORK: New Y Addition
Size of Lot
Cons mensions
(Frame, concrete, br ck, etc.)
Rooms
Heat. Syste
Use of Bld
Garage or C
Remodel
Moving Bldg. Zone Fire Zone
Sewage System Stories �` ^,.�
S.17-01) Total Sq Ft Valuatiort3 Vj Y
Baths Basement
(Full, part, none)
Type of Roofing Ext Finish
/lL t 4 ,
ort Attached
Foundation Const
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
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-
m and water supply lines.
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
to Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ce 'fy informat"on subte fs and there are no other structures located on this property except
as shown./lV/ (/ —]r r7 :3
er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S 1S NOT A PERMIT.
61, DO Pita WRITE B LO THIS LINE
Your street address will be 7 / K _ �._�e Jr , ,e zone is�
Sewage Permit Number Issued Building Permitpyo J. Recelpta G '2 _Issued
i
Remarks °P
a -
Form 523 Bldg. Code