1973, 08-23 Permit App: K2590 Pool• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
✓�G
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
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
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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
APPLICANT FILL IN BELOW THIS LINE
work must be
on a County
or State
with the land
dedications.
�/ D ��.1�A /� AA /av `/ C447 044- .t FF20�
Name of Owner.. � C<,� r . G/ AddressPhone 9.2 y— 99/6"
Architect Phone Engineer Phone
Contractor Address Phone
etc.) /73---4// - G r1 / 7
Legal Descript on 9f Property (Give complete descr'ption from deed, tax receipt,
0 7°' --?� w Lep ' 6 a- 074,
DESCRIPTION OF WORK: New r/Addition Remodel Moving Bldg. Zone ( Fire Zone
Size of Lot 10 k ,5// Sewage System Stories
Const. imensions ? Total Sq. Ft. + Valuations ; v
(Frame, co rete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System Type11f Roofing
Use of Bldg. (7i- iAof
Garage or Carport Attached
Foundation Const
Chimney Fireplace
(Kind) (Number)
Ext Finish Int Wall Finish
f � v
No. of Units Bedrooms
Private l)etntchc d
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.
N
-1
NORTH
•
Re5i4ento
Qdh� SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certif inf rmation submitted_is correct a d there are no other structures located on this property except
as shown. i
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
Remarks
/2O/gr,-
Issued
Bui
ing Permit, -
e zone is a
Receipt,/ a� Ssued
Form 523 Bldg. Code