1977, 08-19 Permit App: M2912 Swimming PoolCounty 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 building or structure of any
kind or alter any building or structure already erected, or to change a landouse. a
Spokane County Building Code and Zoning Ordinance, Construction is subject Construction must conform with the
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 251 is required, a 51 side yard, 15' side yard from a flanking street, and a 251 rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining 1 0 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 BUILDINGS. A permit is required to move an existing
Highway, clearance must be obtained from the County Engineer and building. When a building is moved on a county or State
/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.
I ,,7 APPLICANT FILL IN BELOW THIS LINE "f )
Name of Owner �_v
Architect
Engineer...,
4
Contractor
Legal Description of Propety(G(Give
4
7
—Address Phone
— Address Phone
— Address
— Address a Phone
frm deed, tax receipt, Phone
444 �eipt, etc.) Parcel NumbersaL_,�Z,/-/,�
DESCRIPTION OF WORK: New Addition Remodel Moving J,
Size of Lot L g Bldg. Zone
Fire Zone
SewageSystem n
Stories —Dimensions FFO,.,
st
onc.,,SE, etc.)
Rooms — Baths Total Sq. Ft.
Valuation
,!asement Foundation Const.,
--TF-ul part, ndn-eT— Chimney Fireplace
--(—
Heat. System nd)
K,
Type of Roofing Ext. Finish (Number
Int. Wall Finish
e
Use of Bldg.
�f_, l- ZZ—
No. of Units —Bedrooms
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 "4
State
License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
N
M
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received.
Plans Checked -
Plans Returned.
Plans Picked up
Plans Mailed —
I hereby certify information submitted i curt
shown.9WAME t and there are no other structures located on this Property except
I J �11AA; I A/ 71
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS
THIS IS NOT A PERMIT. TRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be_. _s
the zone
Sewage Permit Number— - Issued Building Permit', "I �' A- � 6�
Remarks I Receipt
77—� , 14 11 "Issued
ke
FQrrn 523 Bldg. Code