1973, 07-19 Permit App: K2286 Pool•
0
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMI
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 onwater 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 Coudty 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
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.
or State
Name of owner
Architect
Contractor
Legs escript ioQ of Prgperty
4. /l
cz�I0-�. ,q ,t.... `'—t / 4 t •7
Size of Lot ? / G, sci .)(/ sf,w. st s
Const. Dimensions �- G/Lo - - -- Valuatior /Op >�
(Frame, concrete, brick, etc.) ./
s Baths Basement Foundation Const Chimney Fireplace
(Full, part, none) (Kind) (Number)
�,QT• System Type of Roofing Ext. Finis Int. Wall Finish
Use of Bldg. a--ue 7Ar.... —�..4 No. of Units
Garage or Carport Attached Private Detatched
APPLICANT FILL IN BELOW THIS LINE
Phone
ddress �� 1 �y%Y-els„ - Phone 4t i� S,`t7`
Engineer Phone
Phone
ax receipt, etc.) / 7L 6 a— 06 O
Address
(Givecayplet ascription'fran�ee ,
DES PTIO OF WORK: New Addition
Remodel Moving
Sewage System
Total Sq Ft
0.13
Bldg. Zone
3/4.a.57-
Fire Zone �3S \
Bedrooms
( 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.
nt
to
-4
NORTH
65,1(
SOUTH
State License No.
Ind. Ins. Acct. o.
REQUIRED
Plumbing Permit
Heating Permit
Sewage
Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informatjgn submitted is correct a there are no other structures located
as shown. /,II/O G,J,/
Owner or Agen
on this property except
7—ZS—
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
/ s 2/
.e zone 1�e�l —% 't-
`.9. )g .,Receipt d 3Issued
Form 523 Bldg. Cods