1972, 07-31 Permit App: J3911 Pool9
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99407 d D
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__ -q._._._._._.
PEWIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of way
I
lad or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane Comfy Building Code and Zoning Ordinance. Construction is subject to Inspection.
WATER. Rater supply must be approved by the County and State Health Departments. Where work onwater convections disturbs
the surface, shoulders or ditches of Comfy Roads, permission most be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nm. 45-133 and 47235.
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
.ad egress.
COUNTY ROADS. Work on street right-of-way may at be performed until staked by Call Road Department and mark most be
Performed in accordance with stakes. Points of ingress and egress moat 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 bill Icings (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
Name of Gwru,,---Ver7o� iY0/ 7-,l ddress
Architectcc-- Phone Engineer
Contractor tJ� Address_
of Property (Give complete description from deed, tar receipt, etc.)
DESCRIPTION OF WORK : New— Iv—Addition V Remodel _ Moving Bldg. Zone /_/'' Fire Zone
Size of Lot F Sewage System �bLtRI Stories
Const.pensions >< Total Sq. Ft.
(Frame, ,tan,rw. r �ftcJ
Rooms—Baths Basement'—Foundation Const �� Chimney —' Fireplace
(Full, part, none) /J (Kind) (Number)
Ileac ✓fit-�sr a Syste^ Type of Roofing . FinishlQ�4fl—�� Int. Wall Finish
V
Use of Hltlg. No. of Units �L Betlrooms —
Gan .go orUror,ion A«uehed�. .. _..i chrd 1:;`2 rYLr/
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and ..for supply lines.
Th- NORTH Beate Leen a Nc.
Ind, in cc. No.
to
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
certify information submitted is correct and there are no other structures located on this, property except
/ ' Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CQNSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be �L// a van
Sewage Permit Number Issued Building Perl Receipt Issuetl
Remarks
Fmm $29 Bldg. Code