1974, 05-15 Permit App: K4599 Pool• ..•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT // 64>
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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 BUILDIIbS'. 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 I�npd
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicatidhs.
199246
Phone 924—Oz; cS )
APPLICANT FILL IN BELOW THIS LINE
Name of Owner `'L4 -n ' $ . 4ALYA2 a Address
Architect Address
Engineer Address // Phone �
Contractor f`-4) 02(-14-47..4(.4(.4"7ti Address RA07 e �,or4 1Q g9.206 Phone 9,?1f-(e/iS`-1'
Legal Description of Property (Give complete description from deed, tax receipt etc ) A,4e/'P�/7:5-'--/,0y t
Phone
DESCRIPTION OF WORK: New Addition Remodel
Size of Ldt 340/
Stories =Dimensions / 8XSF{
Rooms _=-Baths—BasementFoundation Const
ll, part, none
Heat. Bldg. ��I6 — Ty of Roofing
Use of Bld i�tJJU .LIJ-(/YtvYlLIM
c
Moving
Sewage System
Total Sq
T
Bldg. Zone --/ Fire Zone •t)
i (Fr., Conc., Br., etc_
:1j0
Ft !ngl Valuation 'S
(Num er
Chimney (Kind) FireplaceFl
Int Wall Finish P
No of Units _ Bedrooms
xt Finish 0.4-14-(4lir.c-
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
ex.i sr we
,31.o ecs
State License No.
.2 L -d / -/03,5-0
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby rtify information submitte is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
./Oar '1-1
Sewage Permit Number Issued lding Permit
Remarks
The zone i5 g4'Cccjt4it.'
kiff5 y IkeceiptIssued
Form 523 Bldg. Code