1972, 02-22 Permit App: J1926 Pool __ -...„.....
• County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Crli
GENERAL REQUIREMENTS PERMIT FEE...10
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 PROM 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.
s
nd
ents
whichlarevenforrcce enforceable throughrs civiluld check action. Countysions O ficialsf ocanants or not bringdactionntoaenforce®covenantsing or dedithe land
cations.
APPLICANT FILL UI BELOW THIS LINE
Name of Owne •-,,.4L. 1111. ✓�- -.- •ddress i - _ . Phone—
Ph one
Architect_ Phone Engineer___.__ Phone
Contractor Address —,
etc.) .G// 2�—
egal D cript ion of Property (Give .o ,� e d y criptio' om deed, tax receipt, ��
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg.Zone----�—Fire Zone
Size of of /CSS .f' /7 O
_ Sewage System St s
Con Dimensions /6 /3..6 Total Sq. Ft. '�.. Valuati n '— �
(Fra ,concrete,brick,etc.)
Fireplace
Rooms Baths Basement_ Foundation Const. Chimney (Kind) (Number)
(F 11, para, none)
Heat. System / Type of Roofing Ext. Finish Int. Wall Finish
Use ofBl._. s �i , ,,,,i �ii ' 4...... No. of Units Bedrooms
Garage or Carport Atta ed Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) locationn ffof existingsand
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; ( )
tem and water supply lines. E State License No.
NORTH `�j .
�6.`�'�/ Ino. Ins. Acct. No.
ryY
, ( ,,
_...., __________________
/0 /CO 3-0)
• l5! 7 REQUIRED
Plumbing Permit
iO 0D
r .ro Heating Permit
ien
n N OM Sewage Permit
1 -4
7 S / M
Plans Received
,J Plans Checked
Plans Returnedke
TPlans Picked Up
.� Plans Mailed
SOUTH
I her,• •ert: info lot) ' ed is correct!and there are no other structures located on this property except
as shown /-- Z
f
Owner or Agent Date
A L • D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE //
'E-(.472.:=9 47-'l_ The zone is !- - -- -
/
Your street address will be /�G ��� lir Issued
Sewage Permit Number Issued Building Peril(3 .7 7-� Receipt
Remarks _ t