1974, 06-20 Permit App: K5038 Pool County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ` p%
GENERAL REQUIREMENTS PERMIT FEE (v
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 stroet, 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 or 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 9/0.20
Name of Owner (_.). 3'i) ^ ) Address ....4"0/-, alo - '..41.Y hone yd(-53a7S/a0
Architect Address Phone
Engineer Address _____— Phone
Contractor f- "":"'.�� ' Address _.�. Phone
Legal Descr'•tion of Pr pert (Give complete description from deed, tax receipt, etc.)
AllY
, / i_/ — 4. r .2
A_�
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DESCRIPTION OF WORK: New ✓ Addition Remodel Moving — Bldg..Zone / Fire Zone
Size of Lot /dam ' /Y /.fit! Sewage Syste ms— Co(Frns.(2etc.)y�
Conc
Stories Dimensions / .moo 3 Z Ft. .
S7/47 Sq. Ft. /�p Valuation4L[G�
Rooms Baths Basement Foundation Const. Chimney / Fireplace
(Full,
part, none) (Kind) (Number
Heat. System ... Typepf Roofing Ex . Finish Int. Wall Finish
Use of Bldg. _ alt _ice - % . N. of knits_Bedrooms
PLOT PLAN dill ,- , . /
Draw sketch with dimensions showing: (1) property lines; (2) street or road loo: ions; (3) location of existing and
., oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
d water supply lines.
NORTH State L' nse No.
Ind. Ins. cct.,. No.
,Q
I
N
j II� REQUIRED
tii , C'
Plumbing Permit (::::1
J 1�1\n+ • Heating Permit
0 A / 0-pr `;l, Sewage Permit
r _r.,
^h Plans Received
tit Plans Checked
Plans Returned
Plans Picked Up
v‘-' Plans Mailed
3/ SOUTH 1 -1(-"4"..6-1--(---j7—
I h reby cert'fy . rliatio,' submitted is correct and there are no other structures locate on this property except
as shownA /- , ,' 1
Owner or Agent Date
A LA D USE OR STRUCTURE PERMf' MUST BE ON THE PREMISES BEFORE CONS RUCTIO COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ...... 6-/ 7 _ The zone is
s: :;2-( it
Sewage Permit Number Issued —. Building Permit _ O ; Receipt 3` Issued
Remarks
Form 523 Bldg. Code