1974, 04-22 Permit App: K4292 Pool• w
County of Spokane. Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit Is required by County Resolution to erect a building or structure of aril
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 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 OP 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
Address /t7
Name of Owne j!/ -y+
Architect Address Phone
Engineer Address Phone
Con rmr Address
Legal Descripti
of ropeny (Give complete descriptio from dee., tax receipt etc
tem -7 iL / 9 s— sr- /7 y er,
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plone/Jcz __ iv y
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DESCRIPTION OF WORK: New 'T Addition Remodel Moving B Zona Fire Zone
Size of Lot "Y .� r7• 3 3 Sewage System Const.
r� (Fr., Con Br.. etc.)'
Stories_____Dimensionsf74 �w""' ,(/� Total Sq Ft. Valuatd p•
Roans _Baths Base Foundation Const- �6-p—++ Q Chimney Fireplace
(Kind) (Number
Int Wall Finish
No of Units _ Bedrooms
(Fu
Heat. System Type Rodin a of oo Ext Finish
Use of Bldg
PLOT PLAN
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
'7 14" NORTH
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ly
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400af.1<3p3
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property lines; (2) street or road locations; (3) location of existing and
(6) location of sewage sys-
lines and streets; (5) dimensions of buildings;
SOUTH
I hereby certify information stt)mitt_ is co ect and there are no other structures located on this property except
as shown.
State Lim Sea No.
REQUIRED
Plumbing Permit
Heating Permit
an
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
—79
Owner Owner or Ageilt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
/� /nl t- C
Your street address will be The zoQne/r,,_i_
Sewage Permit Number Issued Building Permit �/(,jy ceiaII/ 7 Issued
Remarks
Form 523 Bldg. Code