1975, 03-03 Permit App: K6813 Pool BldgCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction must
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.
(31
Mita
structure of any F"e
conform with the
APPLICANT FILL IN BELOW THIS LINE
9 (
Name of Owner 'r//-� - Address 4C '& 041t t Phone_9_.e-----n- Y6
Architect Address
Engineer �� Address // Phone
���/�
Contractor €t /> -/'/. Address /6�c eGr'..o �A`7/`-
Legal Description of Property (Give complete descrip$from deed, tax receipt etc )
Phone
Phone
rj' 2.6
4//
5// 0807
DESCRIPTION OF WORK: New Addition vRemodel
Size of Lot / 3 3 .. ?P' / Y 3 ? eC '
Stories Dimensions / f ✓ CoO
Roans Baths Basement —Foundation Const.
(Full. part. none
Heat. Systay/�nt_Type of Hoofing
Use of Bldg.
Moving Bldg. Zone / Fire Zon kr?
Sewage System Dost
Ihr., c., B� etc.) mo
Total Sq Ft 0 ' I Va atian ,- /'O cl",v
a_ .e --.-f/ .S 7 .Chimney'Fireplace m
(Kind) (Number
xt. Finish—Cr"/ nt Well Finish -^'--9
0 of Units.Bedrooms
0
PLOT PLAN
v .w sketch with dimensions showing: (1) property lines; (2) street or read locatibuild. ion of existing and
pr•rosedwater ings; (4) distance to property lines and streets; (5) dimensions of buildings; 6) location of sewage sys-
tem and water supply lines.
an
NORTH
as sh
ALA
THIS
eby c
SOUTH
formation s$bbitted
Owner or Agen
D (ISE OR STRUCTURE
IS NOTA PERMIT.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Recei
Plans Check
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on t 1s property except
7..5 --
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address..111
Sewage Permit Number
Remarks
e502(107
The zone is a.. e
Building Permit 4g13 1 Receipt 93a Issued
Form 523 Bldg. Code