1974, 06-24 Permit App: K5054 Pool•
•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI3'
GENERAL REQUIREMENTS PERMIT FEE i
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 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of
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 ingres
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must b
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 Stat
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 lan
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 _ �/ �- Address 2O2 a a (6/ 72 Phone
Architect Address Phone
Engineer A Address ,�// ?� Phone
/ S Address `X Q /eK,a 1 Phone
Legal scription of Property ive complete description from deed, tax receipt, etc )
Contractor
C9 +
DESCRIPTION OF WORK: New N Addition Remodel Moving Bldg. Zone / Fire Zon
c:7VG ly.
Size of Lot
Stories,imensions
Rooms Baths
Heat. System
Use of Bldg.
(F
f`y—
Basement
, part, none)
Type of Roofing
X Svc
Foundation Const.
Sewage System
/Y
+onst - - --�
I Fr., etc.,, _��
To al Sq Ft L lValuation7y s 0 o�
Chimney '--- Fireplace
(Kind) (Number
Int. Wall Finish
_aIle f Units_ -Bedrooms
SS'
Ext. Finish
D sketch with di e.sions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I her el)
as shown.
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS UCTION COMMENCES.
THIS IS NOT A PERMIT.
SOUTH
mation submLttbd is c
State License No.
Ind. Ins. Acct. No.
/—
REQUIRED
Plumbing Permi>1\
m Heating Permit
Sewage Permit
Plans Receiv
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and t. e are no other structures located - this pr..erty except
Date
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
Form 523 Bldg. Code
1
4
r-
\"
I her el)
as shown.
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS UCTION COMMENCES.
THIS IS NOT A PERMIT.
SOUTH
mation submLttbd is c
State License No.
Ind. Ins. Acct. No.
/—
REQUIRED
Plumbing Permi>1\
m Heating Permit
Sewage Permit
Plans Receiv
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and t. e are no other structures located - this pr..erty except
Date
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
Form 523 Bldg. Code