1975, 12-03 Permit App: L2216 PoolCanty of Spokane, Washigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0-7GENERAL REQUIREMENTS 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 47235.
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.
APPLI ANT FILL IN BE:W THIS LINE
Address i. O - irf 'tag Phone
Address Phone
Address Phone
Address / Phone
dlete
Legal De option Proper y d complete des on f our deed. tax r ceipt etc I /
Name of Owner
Architect
Engineer /////�/I
Contractor
YA�
,iii iu Au
lit /Sas
O
DESCRIPTION OF WORK: New X Addition emodel Moving Bldg. Z�o%�,°,t
Size of Lot /ry 6 , )C' "f �J!/ -Lpt'e 4 ' Sewage System /[///
Stories �.IL{1D imensiioo/nasi /.5 1yam XC' //�,,/) Total Sq Ft Valuatio
Roans ��/ Baths y[.ti__ Basement /1/N._ Foundation Const.. _JLLr Chimney Kind) Fireplace Number
Fulh part, nee l� yqn
Heat Bldg.
t Type`:le
Ext Finish - / II %i Int Wof ll Finish
Use of Bldg. F No of Units _ Bedrooms
PLOT PLAN
Fire Zone
Fonst
Fr., Cone.
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 ( RESIDENTIAL] COMMERCIAL
/5Q'
AF%IST illy
YANse:
I hereby ce
as shorn
SOUTH
ubmltted is correct and there are no other structures located on this property except
/a zs
Owner or eat Date
A LAND USE OR STRU RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
State License No.
REQUIRED
Plumbing Permit
▪ Heating Permit
• Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
DO NOT WRITE BELOW THIS LINE
Your street address will be --",(<4�/0/6)--",(<42
Sewage Permit Number Issued Building Permi
Remarks
The zone 1s
t _ Receipt Issued
Form 323 Bldg. Code