1974, 04-12 Permit App: K4197 Poolj.
NIP
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3 -
GENERAL
GENERAL REQUIREMENTS PERMIT FEE l?
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 LI = 792 C
Name of Owner
Architect
Engineer
Contractor
Legal D
Address
Address
Address
Address
Phone
Phone
Phone
n
one
4V- ?IF
7P-
'ption•of P. opt tijGive /o .lei des ription m deed, tax receipt, etc )
4'
I /
DESCRIPTION OF WORK: New Addition
Size of Lot
Remodel
Stories Dimensions /(Q %( 3_
Rooms — BathsBasement
Full, part, none)
Type of Roofi_sg
_ (1! f-L,r7
Heat. System
Use of Bldg.
Moving
Sewage System
Bldg. Zone FireZone -
onst. (/ ��J'Gl . "
(Fr., Conc., Br., tc.) _
Valuation 46 t3 nr)
Foundation Const Chimney- Fireplace
(Kmd) (NumTei
Int. Wall Finish
No. of Units _ Bed -BMW
Total Sq. Ft
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Ext.j i n i sh
p //
PLOT PLAN
property lines; (2) street or road locations; /3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m
N
SOUTH
I her by certify information m'� / d is
as show �j �/; `�
at
Owner or Agent
State License No.
'0/ -
Ind. Ins. Acct. No.
.»t!o
-7
REQUIRED
Plumbi T: ermit
m Heating P 't
so
N Sewage Perim
1
Pla • - • e
Plans hecked
Plans Re • ed
Plans Picked U
Plans Mailed
correct and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRIT
1077
ELOW THIS LINE
ez,Li E
#/f
The zone is
Building Permit Receipt,5-C,10
Form 523 Bldg. Code
7s'
6 7'
!0
House
35
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