1972, 06-14 Permit App J3347 PoolCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $21.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Roy Cuculich Address N. 610 Collins Rd. Phone 924-0686
Architect Phone Engineer Phone
Address Box- 14110 E. 7404 Sprague Phone 928-1661
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Lots 4 & 5, Block 1,
0it Halvorsonts Xeres Sub divi si 1 T --.°� —�'ar cel l �,& —1 105.
Contractor Town & Country Pools, Inc.
Const. Gunite Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
any
the
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot Sewage System
181 x 38 !
Moving Bldg. Zone Fire Zone
Stories
Total Sq. Ft.576 s q • f t • Valuation $6, 000.00
Foundation Const Chimney
Heat. System Yes Type of Roofing Ext Finish
Use of Bldg.
Swimming Pool
Garage or Carport Attached
Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
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 y`
J
m
State License No.
223 01 11920
Ind. Ins. Acct. No.
281,995
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
For Town & Country Pools, Inc. June 14, 1972
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be �� ! -�� - ✓� �"���
Sewage Permit Number Issued
Remarks
Building Permit
The zone is G��
Receipt issued
?7Y
Form 523 Bldg. Code