1973, 05-08 Permit App: K1570 PoolCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 49401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.._______________
PERNIT 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.
NATER, 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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner. Jqlle& -Address
Phone
Architect_ Phone Engineer Phone
Contractor 1A101i d5/ �ac>/� Address Phone
Legal Description off Property (Give co p�te description omom deed rete" t, etc.)
DESCRIPTION OF WgRK - New _ ,t� Addition
Size of y/�/e—a, zy __
Remodel Moving bldg. Zone / Fire Zon41_i___
Sewage System /7 c2 -_2 �P _ Stories �—
r�Total SFL����
(Frame, concretfe, brick, etc.) - q. . Valuation
Rooms Baths —Basement Foundation Const, Chimney Fireplace
(Full, part, none) (Kind) Number)
Heat. System S Type of Roofing i Ext. Finish �d� 15f Int. Wall Finish
Use of Bldg.
No. of Units �_ Bedrooms
G4age or ',arport Attached- �� Private Dctatched .ham
r�"
PLOT PLAN
Draw sketch with dimensinns 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.
LA
-4
as
NORTH
State Lic ns No.
Ina. ns. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Receive
Plans Checke
Plans Returni
Plans Picked
Plans Mailed
SOUTH
I ereby certify information submitted is correct and there are no other structures located on this property except
Owner or Agent -1. Date
JLAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 2Zr ,-?,-j The zone is -SIJ
Sewage Permit Number Issued Building Permit /� /� / � Receipt Issued
Remarks _ .i"" rT
Form 523 Bldg. Code
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