1974, 05-14 Permit App: K4580 Poolw
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTUR
GENERAL REQUIREMENTS
C
E PERMIT r5
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 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
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County_ Road, Deaftment 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
and egress.
Name of Owner
Architect
Address i/d/ Phone �% �� /�/•S .�
Address Phone
Engineer Address
Contractor // "� G�-C� Addressol
9Phone
•'-', � " � Phone
235 '/2 -.1117/O
Le 7crif
Pr (Give comoIet description from a tax receipt, etc.)
DESCRIPTION OF WORK" New '\ Addition
Size of Lot
Remode I
Stories Dimensions . '?
Rooms -'Baths - Basement
(Full, part, none)
Type of Roofing
Heat. System
Use of Bldg.
Moving BIS. o • / Fire Zone -
Sewage System �Z • Const.
(Fr., Co ` Br., etc.)
Total Sq. Ft ' / ^� Valuatiofi iy c'+
Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units _ Bedrooms
Foundation Const. _e• imney
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
temAand water supply lines.
i:36c- ''
NORTH
PLOT PLAN
property lines; (2) street or road lo . ions; (3) location of existin_•a:a
lines and streets; (5) dimensions o..uildings; (6) location of sewage sys-
14,
AtA
5�
SOUTH
I hereby certifyrmation sub��"
as shown.
Owner or Age1t
Ind. Ins. Acct. No.
m
1
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Date
A LAND USE OR STRUCTRE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
2v
DO NOT WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number
Remarks
Issued
Building Permit
The zone is
Receipt
Issued
Form 523 Bldg. Code