1978, 04-13 Permit App: M5764 Enclosed Pool Cover9 •
County of Spokane, -Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE IO '
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of soy
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.
RATER. Rater 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 -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 fldhking 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 HOISINGS. 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 cove�nts or dedications.
Name of Owner
Architect
APPLICANT FILL IN BELOW THIS LINE
/eau / wo// e It
Engineer
Contractor
/r 772-0Addre('//vo6 Y7 C.?, PhanePa1--/96
Address
Address
ac Address p¢
Legal Description of Prone, (Diva enrnnllgte deeriptio ram deed. taxyeee Itfr. I Parcel Number/
Phone
Phone
rv,
Phone
-?oG3
DESCRIPTION
10)RUWRM K/W WIUIB 1
DESCRIPTION OF WORK: New Addition Remj�tlel �— Moving Bid Zone_f— Fire One
Size of Lot .....5-02 X /.99 r k a'2 7 ' X lop Sewage System ilk / /z1const /--/V a Pr `e
Y n. Canc�B44 etc.)
Stories f Dimensions 'rTotealSq Ft. /2' Valuation
TJlKJ• /mss
C d//C ge-1Chimney Fireplac N
IKiM) fl,„ (Number /
Ft /— / Int Wall Finish OfVe 6-1#1.- 1 /
No of Units—.Bedrooms
Ropes Bath aC CCL Basement f fir 6' Foundation Const
p / ' u 1, part, none) //
Heat. System /V f9 4e—Type of Roofin• S . r'!C`S
Use of Bldg. z-f.rrr lrYif-r
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing an
pr posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
t and water supply lines.
NORTH
I he
as sh
fyinOorMa
SOUTH
State License No.
Ind. Ins. Acct. No.
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
�t�u'A ted is correct and there are no other structures located on this/property except
/ 7
Owner or Agent Date
A LAN SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
// DO/N�O/T WRITE BELOW THIS LINE
Tour street address will �W r // YO Fy l 7 / �zooe is I, '��R
Sewage Permit Number Issued Building Permit Receipt /24e Issued
Remarks
Form 523 Bldg. Code