1973, 06-05 Permit App: K1892 DeckL'
0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o P
GENERAL R E Q U I R E M E N T S 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 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 Coulty 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 witii the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
At APPLICANT FILL IN BELOW THIS LINE p
Namf of Owner
Address L99/ 7
/
Phone w,4
Architect
Contractor "�{ �-
Legal Description of Property
Phone
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(Give co feted
Engineer , I
Address e, w3/e) tj _ 9.�0
cription
r eipt, etc.) ,/�,�f'f��(Ue�'xo
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Phone �I
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DESCRIPTION OF WORK: New Addition-* Moving Bldg. Zone Fire Zone 3
Size of L t /3 D Sewage System Stories
Const AAka Dimensions Total Sq. Ft.�L y a Valuation 11Z50 �—
(Frame, concrete, brick, etc.) _
�. Chimney Fireplace
Rooms "— Baths Basement —Foundation Const. V �✓Li�/�e�Q. y p
(Full, part, none) (Kind) (Number)
Beat. System Type of Roofing LIU Ext. Finish Int. Wall Finish
Use of Bldg.
Garage or Carport Attached
PLOT PLAN
No. of Units Bedrooms
Private Detatched
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 State License No,
.vtJ U K
p Ec K T'D N
p�.ERs
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..., 0
Ind. Ins, Acct. No.
REQUIRED
Plumbing Permit _.
M Heating Permit _
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up—
Plans
p_Plans Mailed
SOUTH
I eby certify information submitted is correct and there are no other structures located on this property except
as
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOT A PERMIT.
tu
DO NOT WRITE BELOW THIS LINE-�/r street address will be a zone iaA� / . (� �K
Sewage Permit Number Issued Build ng Permi Receipts 6 S 7 Issued
Remarks
rorm ots crag. t-oae
u
Spokane County'
HEALTHis a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
• District
June 5, 1973
Ralph Fox
19217 E. Montgomery
Otis Orchards, Washington 99207
Dear Mr. Foxt
RE: Proposed Deck
According to our files the above construction will interfere
with the septic tank and drainfield sewage disposal arrangement,
therefore, no building permit will be released until our depart-
ment is notified (via revised plot plans and/or sewage nermit)
of a relocation of the proposed building or the sewage disposal
system.
Your cooperation in this matter will be appreciated.
Sincerely
Dennis K. Kroll, R.S.
Environmental Health Specialist
Spokane County Health District
DKK/alh
CCs Bill Fergen
Building Codes Department
N. 811 Jefferson
Spokane, Washington
Administration SCH�-ENV-027
456-3630
Clinic
456-3640
Environmental Health
E. 0. PLOEGER, M.D., M.P.H., Director
Laboratory
456-3667
Personal Health
456-3613
Vital Statistics
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