1978, 07-28 Permit App: M7350 Pool t
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o_
GENERAL REQUIREMENTS PERMIT FEEcf
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/
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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
iL / PLICANT FILL IN BELOW THIS LINE
IF
Name of Owner 4 ,40..:j Address CJ a Phone Qa b— 3° 7
Architect AddressLe Phone 93 k -79 I(el
Engineer / Address / q q‘,72 G'-, Phone
Contractor ? ( Address Phone
i:gal Description of Property (Giv= complete description f •. deed, tax receipt, etc.) Parcel Number - O
• " . - A4C-/ - AO .1 ./ , s _,/r //
. ,,s .
DESCRI WIlRK: New Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot o- c--r-'L..e----1 Sewage System onst
/ (Fr., Conc., Br., etc.)
Stories Dimensions 4) x 7 Total Sq. Ft.21 O Valuatior
Rooms Baths asement Foundation Const. (J ,� e Chimney Fireplace
rr�� u art, none) (Kind) (Number
Heat. System: , v )typo of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. (� No. of Units _Bedrooms
F7 "t-1`
',�L-t�'c� 7 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 License No.
rc
Ind. Ins. Acct. No.
.....i
G114:;;;I
,/, `'f( RESIDENTIAL-COMMERCIAL
3 6° REQUIRED
Plumbing Permit j
in Heating Permit K
i To
cot ,3Q H Sewage Permit
1 r_.57 -7
f Plans Received
/00
Aga Plans Checked
fes' Plans Returned
'
/
Z 02 Plans Picked Up
/ Plans Mailed
SOUTH
I by cert ini.: ion submitte y is correct and there are no other struc res ocated on this property except
ssh• � ' / r l
• /11�i- .,_ t ,.
Owner or Agen✓ 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 / (, / 0 7 (()_ k (0 , The zone is�/— L '`= � ,
Sewage Permit Number Issued Building Permi, i%/ Receipt 571/ slued
Remarks .dL DAr -at- ....4111[_-_-_--: _...,....tat_.— — L 0._.;-a'
j2-",Or---e S"-)--y-s,4,.."-, ,„
.fid 0 �� ,
Form 523 Bldg. Code