1971, 10-28 Permit App: J1153 Pool ,
. County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT P
GENERAL REQUIREMENTS PERMIT FEE..,
PMT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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
Name of Owner ren-n);I' .... ?61 stDv1 • Address --' Phone
Architect .--hone Engineer n Phone
Contractor 7 4//G /� a c7 S Address �2- 7 /6 G B. i - -' • Phone 1,.e.14.. -73-� v.,
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
.._ ---2 d s" ,6'/A' I f �� (RC - - " . /YTS - /s'
• DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone Fire Zone
Stories
Size of Lot _ Sewage System Valuation ,..3-..!,:),���� ��
Const. iie4 9Jif SSDimensions /� 5 X 3 S— Total Sq.Ft. 4-.9 d" 1
(Frame;concr te,brick,etc.)
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System G'T S " Type of Roofing Ext. Finish, Int. Wall Finish
Use of Bldg. %? r0 V firr .5 iief iM 11.1 07 IC `CI 0 I. No. of Units Bedrooms
Garage or Carport Attached 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.
NORTH /S".1 /
Ind. Ins. Acct. No.
> > -. .---iREQUIRED
,s,,, Plumbing
- Plumbing Permit
„_ •� / , I m Heating Permit
4 t°4. `e-\ \ D Sewage Permit
/�.,,- Plans Received
(� Plans Checked
1
,. Plans Returned
�`, LPlans Picked Up
(>5 lt' Plans Mailed
W 1
SOUTH %. /3n- t�
I hereby cert' y information submitted is correct,a}d there are no other structures located on this property except
as shown. e-
, eT-e-et-fi -,: c , / 6)/ /-*
Owner or Agent -> Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRI BELOW THIS 4, s
r
-Jryet address will — !_ ..10.5%.1.141 .f.1 -/.i .e zone 1: _ -,,-, -., =!_
srmit Number _ Issued ding Perm d, / Receipt Of Issued
(C / --�
523 Bldg. Code