1978, 06-15 Permit App: M6745 Poole•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992
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 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 eeable throj civil action. County Officials can not bring action to enforce covens or dedications.
APPLIC NT FILL IN BELOW THIS LINE
/I/ Joliet/ill-
Name of Own��/� ' �i.��. ` 1_.... • ddress Y
L•99...1. iG
Phone ,7—`f — 7 2. / 2—
Architect / / Address Phone
Engineer Address Phone
Address Phone
Contractor �A--z* �µ 1
Legal scription of Pro rty (Give complete description froAn deed, tax receipt, etc.) Parcel Number
ft)
�j a r 615 6?--g-e" y ! to S
DESCRIPTION OF WORK: New Addition
Size of Lot4.3
K( cid
Stories _Dimensions
Rooms _ BathsBasement
pp //�� part, none)
Heat. System4L--e- .L/ Type of Roofing Ext Finish
Use of BI
Remodel Moving Bldg. Zone / Fire Zone 3
Sewage System Const. t'
Fr.. Conc.,
//j�Total Sq Ft 00 Valuatiorn�(a�
Foundation Consti -eM --(4—er— —Chimney Firepla�r7ce
(Kind) (Number
Int Wall Finish
No. of Units Bedrooms -
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PL9T PLAN
operty lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
U
as 5
SOUTH
hereby certify information su)9aitted
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
V' �i war
is correct and there are no other structures located on th property except
q
er or Agent
A LA D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date r
CONSTRUCTION COMMENCES.
Tour street address will be 7) 144 a. a- The zone is
Sewage Permit Number Issued Building Perini
Remarks
Receiptsued
Form 523 Bldg. Code