1978, 12-26 Permit App: N1744 Pool I
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 3/
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
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 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 enforceabthrough civil action County Officials can not bring action to enforce covenants or dedications.
i-
j . •P i ANT FILL IN BELOW THIS E ��� '
Name of 0 .r . rZ-77/re,M� I _ Address _f / A/ phone L- 5
Architect ` L€Al / Address Phone
Engineer Address Phone
Contractors. Address es "-TT"'
Legal Des iption of Property (Give complete description f o deed, tax receipt, etc.) Parcel Number
&lay /1_-/:ZZ/Itgeer—Za, -tel
NNW RAW W1DTh
DESCRIPTION OF WORK: N 7diti model Moving BId. Zoe / Fire Zone 3-
Size of Lot — Sewage System - _ >I- onst.
/ / f �� Fr., Conc., e . �,
Stories A/. Dimensi• .. otal Sq. Ft. aluation
Rooms J/ :atha A :asement w Foundati.n Const. r� �� Chimney AFi Fireplace A L,
Fu I, part, none ( nd) (Num r
Heat. System �^ of Roofingr w/ `
Type A Ext. Finish /�' 4- Int. Wall Finish %- i Ar
Use of Bldg. �/t1C17��I,�% i�� /.1 �,(/7 �/r(� I No. of Units Bedroom P i`
94Y1 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 State''"//�N�o.
Ind. Ins. Acct. No.
1 RESIDENTIAL—COMMERCIAL
C REQUIRED
Plumbing Permit
in Heating Permit
in
R•
N vs Sewage Permit
.4 .4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
souTH il/26/2S
I he ..- fy infor.: ion sub itt d i correct and there re no other structures 1 ated this property except
Ow.-1 or Agent Dat
A LAND USE OR STRUCTURE PERMIT MUST BE O HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE ,
Your street address will be _i i Jr/ , �� v The zone _ /�/ l
Sewage Permit Number Issued Building Permit ,n Receipt Aar Issued
Remarks
Form 523 Bldg. Code
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