1974, 06-13 Permit App: K4921 Pool .
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 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
(f �y V •,_ �/�. - _ Phone / -- o 0 (
Name of Owner�JL.CY►'t+ Address � yG'� O
Architect Address Phone
Engineer Address Phone
Contractor ,Q�et-, ),�-a_ i -- Address Phone �7
Leg Description of operty (Give completed scripti n from deed, tax receipt, etc. c9... S. S1 3 Co-0 /
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone .3
Size of Lot 14 r X 1 lif Sewage System Cons.CBr„-etcL
Stories Dimensions / a--4- 2-1 Total Sq. Ft. 3 36 Valuatio 66
Rooms Baths (Full, ne) Foundation Const. —Chimney (Kind)
FireplaceNumber
Heat. System pType of fing Ext. Finish Int. Wall Finish
Use of Bldg .A.4_ rx.� �trL.c��Yi7,�__� �i-it--(1 — No. of Units_Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street o 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-
t•m and water supply lines.
NORTH State License No.
4,.(1,_,,
' Ind. Ins. Acct. No.
A �1 501
_ii
I 4 ,,Jf,' REQUIRED
r 1...ci I r Plumbing Permit
{m Heating Permit
NI Y1
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Q Plans Mailed
Ijr r d I cJ----
SOUTH
I hereby certify information submitted 's correct and there are no other structures located on this property except
s shown. 4t
i• A ' A -:iii / .. (pl/ 7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT ROUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS E
Your street address will beI5 6 ( The zone is w
Sewage Permit Number _ Issued_ Building Permit qqk Receipt Issued
Remarks ---
Form 523 Bldg. Code