1971, 05-28 Permit App: I4609 Pool County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT j
GENERAL REQUIREMENTS PERMIT FEE P
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 y q.,,ZG&,
1 -
Name of Owner Address > O �,.,._ , Phone IMf - Ooh lJ9
Architect q _di�'Yt , _ - /i hone /� Engineer Phone
L'.=��=-s tvs C
Contractor Address Phone
Legal De cripti of ro erty iv complete desc iption from deed, tax receipt, etc.)
DESCRIPTION OF_WORK:New Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of of••--a'',,4yy6 )(i 0tU j Sewage System_ Stories od
Const. � t! Dimensions /6X 3 o Total Sq.Ft. 674,<..1 Valuation ,3�'"DD
(Frame,concrete,brick,etc.)
Rooms Baths Basement Foundation Const. -4-11,-GrI-C.Z... 4 4j Chimney Fireplace
(Full, part, none) (Kind) (Number)
' Heat. System
rr Ty e of Roofing Ext. Finish Int.Wall Finish
Use of Bldg. )97)444)-11./Vi,, ..�L (J .Jr No. of Units Bedrooms
Garage or Carport Attached Private Detatched
01.
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.
NORTH State License No.
1.,J:- --o)_- 7�-6
320
Ind. Ins. Acct. No.
C
z REQUIRED
‹. - — Plumbing Permit
7 * m Heating Permit
a
i 8 vi Sewage Permit
/{
g- Plans Received
IS
, G
r Plans Checked
t -' Plans Returned
P 33 ie` 1G 3 Plans Picked Up
Plans Mailed
SOUTH
IOW
I hereb ° info ,:tion submitted is 7
.rrect and there are no other s u ures located on his p operty except
as shown. m ,� A V U .ia '7,4
1 .er1
:gent Date ( (/
A LAND USE •R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CO STRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/ DO NOT WRITE BELOW THIS LINE
�
Your street address will be `� ' ,�ir�, 'e zone is ��- - / /
Sewage Permit Number Issged Buildi.: Permit '' Receipt ,37$7/Issued�-'2 7l
Remarks - F )- J
t, Offgaliiii‘r- 11111,004 PF
I
If I - I
Form 523 Bldg. Code
s✓`v :..i lei.`..: fir..! tri.U t✓
n •-:-a if i rr-:.a r n
is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
•
June 1 , 1971
Ed Musgrove
North 908 University
Spokane, Washington 99206
RE: Private Pool
Dear Yr.
Musgrove:
•
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
ied
(via revised plot,,plans and/or sewage permit) of a relocation of
the proposed building or the sewage disposal system.
Your cooperation in this matter will be appreciated.
Sincerely, •
V � i
Dennis K. K ol1,• i .S•
Environmental Health Specialist
Spokane County Health District
Di2L1/aln
cc: Bill Fergen
c\\\
Building Code Department ••
(10•
•
E. O.'PLOEGER, M.D., M.P.H., Director
North 819 Jefferson Street.S n Phone (509) FA 6-3330