1972, 08-28 Permit App: J4184 Poolcosy of Spokane, Washin ton
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT4,7
_
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 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
113 i Phone z'z ,e
Name of Owner f
Architect Phone Engineer Phone
Contractor % �. r +t; c• r c-'ir',`j Address /�% �CJy� r_ Phone �,'` ( C. -
f r
Legq.1, Description of Property (Give comple�description frpo deed,,,tax receipt, etc.)
--
DESCRIPTION OF
Size of Lot ✓
Cone "' r V, >`
(Frame, concrete, If
Rooms Baths
Heat. System
Use of Bldg. _
T Addition Remodel
Dimensions
c,
etc.)
Basement Foundation Const.
(Full, part, none)
Type g; Roofing
u c_/ �/
C
Moving Bldg. Zone _ Fire Zone
–Sewage System Stories"
_ Total Sq. Ft. - C Valuation_
Ext. Finish
Chimney
( Kind)
— Int. Wall Finish
_ No. of Units
Fireplace
(Number)
Bedrooms
(I& 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
a
*`Y
r w
r
i
t
.!
/r/ x'0 n —
SOUTH
I her y certif,, in ormation s witted is correcV'a ther ar
as shown. ,P7 1i I � f 17 ..
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMI
THIS IS NOT A PERMIT.
State License No.
Z� �3 --&I — j `? e_5
Ind. Ins. Acct. No.
`/ / ` J _,� C
REQUIRED
Plumbing Permit
M Heating Permit
a
N Sewage Permit
�1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures l qa don his property except
j[ Z 9 %z--
Date
BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be_14_______The zone i
Sewage Permit Number Issued ` Building Permit' Receipt Issued
Remarks
Form 523 Bldg. Code