1971, 04-06 Permit App: I4006 Addition4110
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT //
GENERAL REQUIREMENTS PERMIT FEE..2S-
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. Bu lders should check provisions of covenants or dedications and easements running with the land
which are enforceable thrgh civil action. County Officials can not bring action to enforce covenants or dedications.
PPLICANT FILL N BEL` / ; THIS LINE / 99020 6
j
ddress �►'� —�I ,� . ,. Phone � � �Ai
Name of Own
Architect Phoneme Engineer Phone
Contractor Address Phone
Legal Description of Property (e've co • ete description from
o/ice /3 X17/
DESCRIPTION OF WORK: New Addition
Size of L.,%
Con imensions
(Fra' f, concrete, brick, etc.)
Roo s / Baths Basement
(Full, part, none)
t/ Remodel
9/9
Moving Bldg. Zone
Sewage System
54
Heat. Syste
Use of Bldg.
Fire Zone`3
Stori
Valuatio �-' re
Total Sq. Ft.
Found. 'on Const `
�21E/A_,.- Ext Fin's di/i�
ype of Roofing
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish •
'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 4.
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
N
•
NORTH
SOUTH 9l'
I hereby certify information submitted is correct and there are
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1
v
no other structures located on this property except
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 WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
.e zone
Building Permit. t/fgi, Receipt
is
sued
Form 523 Bldg. Code
Spokane County
n Q=71
Li In
is a state of complete physical, mental and social well•being and not merely the absence of disease or infirmity,
:) " O. r `.► ter
April 7, 1971 •
Frank Wager
East 8211 Sinto
Spokane, Washington 99206
RE: Property at:
East 8211 Sinto
Spokane, Washington
Dear Ater. 1 -Hagar:
According to our files the above construction will interfere with
the septic tank and drainfield sewage disposal arrangement, therefore,
no building permit will be released until our department is notified
(via revised plot,plans and/or sewage permit) of a relocation of
the proposed building or the sewage disposal system.
Your cooperation in this natter will be appreciated.
Sincerely,
Denis K. Kroll,•R.S.
Environmental Health Specialist
Spokane County Health District
Dili/alh
cc: Rill Fergin
Building Code Department
•
E. O..PLOEGER, M.D., M.P.H., Director
North 819 Jefferson Street, Spokane, Washington 99201
Phone (509) FA 6-3330