1971, 07-29 Permit App: J0208 PoolP 40
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
9
r
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit 1s 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.
RATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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. 1)
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 1t ,�/ •��/ 1 qI 4i. '. 1 ddress .....t Phone WA 4-3 77
Architect
/Phone Engineer Phone
Contractor
/151,01-C, Phone
PPh'o/ne
Legal Description of Property (Give complete description from dee tax receipt, etc.) L 75-41 le - Os/ 7
L t'7 a 131.K o V /57A- SA RaeAkC !
DESCRIPTION OF WORK: New Addition
Size of Lot Di0
Const �% -�' Dimensions 6, X 3
Remodel
Moving Bldg, Zon Fire Zone
Sewage System .0 Stories
Qa
Total Sq Ft. -/a Valuation 2266
(Frame, c Crete, brick, etc.)
Rooms Baths — Basement Foundation Const
(Full, part, none)
Heat. System Type of ofing.
Use of Bldg. L /4442/1444-:141,
Garage or Carport Attached
P4-I'f./2.1tifi / �—j � �I
.�/
Ext mish/.TIL
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-
tem and water supply lines.
State License No.
�fJ en
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating
Heatinng Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb rtif� inf tj.n submitted is correct and there are no other structures located on this property except
as shown.
2 7 9
Owne or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be til(
Sewage Permit Number Issued
Remarks
Building Permit
e zone is
Receipt T73.7
Form 523 Bldg. Code