1974, 05-21 Permit App: K4701 Pool317
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5 APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 mast 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
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
0-0
Name of Owner 4 u - - �./ Art i! - Addressti2..9,/Z-�T Phone �1-��-5V 2—
Architect Address Phone
Address Phone
it -n.-41 Address (ji 0 ZY �-,rr r J Phone \ "C. 3 Ziry'
Engineer
Contractor / -�-�G.-l;
r(Wt 4511 '
Legal Desc • ion of Property 1 ve complete description from deed. tax receipt, etc.)
DESCRIPTION OF WORK: New Addition
Size of Lot 15J 2 / Z 7
7i/
Moving Bldg. Zone - Fire Zone
Sewage System " - — .nst.
., Conc.,
Valuation•
L. » / Chimney Fireplace
Y (Kind) t (Numb
Int Wall Finish /2/C/
No of Uni, :edrooms it/�Z-
O
Stories 4M1Dimensions
Rooms /VA- Baths
Full
Heat. System./2,2S .
Use of Bldg.
Basement
, part. none
Typeof Roofing
-,ii ____e
Foundation Const
A//%
Ext Finish
a—Mt Ira
PLOT PLAN i
raw sketch with dimensions showing: (1) property lines; (2) street or road locations;
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
-' tem and water supply lines.
NORTH
I hereb, certify information
as shown.
w
N
y
) location of existing and
(6) location of sewage sys-
Stat icceennse No.
Ins: Acct.
No.
REQU I R D
Plumbing Permit/
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
s e*itted is correct and there are no other structures locate
Owrer or Agent
Date
ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CON
HIS IS NOT A PERMIT.
n th
s .roperty except
eSewaYour street address will be--
Sewage
ge Permit Number
Remarks
OJ NOT 7..,t7 BELOW THIS LINE
ssued
RUCTI N COMMENCES.
The zone is
Building Permit Receipt
Form 523 Bldg. Code