1972, 03-24 Permit App: J2300 Pool . County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
if 64
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / , ---
GENERAL REQUIREMENTS S PERMIT FEE
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-RACK 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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL. IN BELOW THIS LINE a 7
Name of Owner ti��„/tJAddress �/ /� t � cJo� Phone
Architect ,�/ Phone // Engineer �—�, — Phone
Contractor p(/ ,� Address J�L��GG' "� r� Phone 1r rp— as5
Legal Description of Proper complete description from deed, tax receipt, etc.) 990244
DESCRIPTION OF A�jORK:New Addition Remodel Moving Bldg.�Zone Fire Zone
Size of Lot rS f X 7..$Q / Sewage System ry t 'R"�' ' Stores r,ae
Const. Dimensions v Dimensions /. ) 3..G' Total Sq. Ft, Valuatigi • ,CJ Ice
(Frame,concrete,brick,etc.)
Rooms^'""—Baths -----Basement Foundation Const. ��9`7ChimneyFireplace
(Full, part, none) (Kind) (Number)
Heat. Syste ,4 ' ype of RoofingExt. Finish --------- Int. Wall Finish
Use of Bldg. -1iJlfi .x�j — No.of Units Bedrooms
✓
Garage or Carport Attached Private Detatched
1Draw
PLOT PLAN
sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
State License No.
NORTH
iInd. Ins. Acct. No.
D ,
I >N.
M
I
/' REQUIRED
OD/\. �M Plumbing Permit
`( �} rn Heating Permit
ir1
in
I /'
x �� M Sewage Permit
'� ••�
OM ReUS Plans Received
1 Plans Checked
Cao - Plans Returned
'$.., Plans Picked Up
' Plans Mailed
SOUTH 3 a
I hereby certify it •rmati•1 sub.., ted is correct and there are no other structures located on this property except
_
as shown. -
., ----2- _ — —
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE _
Your street address will be s 'le zone is /. .
Sewage Permit Number Issued Building Permit 1 Receipt / ssued
Remarks ,•• . `
Form 523 Bldg. Code