1971, 05-07 Permit App: I4309 Pool• •
, County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.�S�-
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 must 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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner_
Architect
Contractor
Legal Description f Property
Address . . O /!' �i.' _ Phone
/ Phone Engineer / .¢ Phone
Address /..2 -q/..5 -e, « &x�
ve comp 1'e description from deed, ax receipt, etc.)
A - �� _L d
DESCRIPTION OF' WORK
Size of L
Const.
Newt_ Addition
Remodel
i
2?r�f1 -9-137
Moving Bldg. Zone
imensions
(Frame, concrgte, brick, etc.)
Rooms Baths
Basement
(Full, part, none)
Heat. System T pe of Rom ing
Use of Bldg.
Garage or Ca ,ort Attached
Foundation Const
r/
Sewage System
Total Sq Ft / 6" Valu
Chimney
xt. Finish
Fire Zone
Stories
ation 377r4
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-
tem and water supply lines.
NORTH
I hereby cert
as shown.
Y nforma
tn
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
'Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
on submitted is correctand there are no other structures located on this property.e
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
cept
DO N
WRIT
W THIS LINE
Your street address will be S e Q
Sewage Permit Number Issued
e zone is
Building Permit c5,
1
3 G Receipt
Remarks
Form 523 Bldg. Code