1972, 01-10 Permit App J1654 Sewage Treatment PlantName of Owner
Architect
Caunty of Spok....e, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT }y//6 d
GENERAL REQUIREMENTS PERMI
T 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
Ssurface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
AGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SE -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
le st 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 IH BELOW THISC�LINE
dress �5 ) -J c7V Phone
Contractor
Phone Engineer
/, - -
Legal Description of Property (G1'e complete description from deed, tax receipt, etc.) .2- d t'
Address
Phone
Phone
I de.3 a 0 1/' 4e:u ,its tt3r 7 -au %/ 1- 3 O i 1 A o -
4-1, , . L L -e ' 7 '- / {�/i wit 3 7 P> G(Q � �S I `% _ <2. 3 D
DESCRIPTION OF WOR : Ne yAcl ition Remodel Moving Bldg. Zone
Fire Zone
Size of Lot .y,"ffe' Sewage System Stories
ConsL Dimensions Total Sq. Ft. Valuation /70,, O c O
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext. Finish Int, Wall Finish
No. of Units Bedrooms
Use of Bldg. �l,p
Garage or Carport Attached
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 a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
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as sh
NORTH
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State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submit ed is correct and there are no other structures located on this property except
Owner or Agent
AND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
HIS IS NOT A PERMIT. /.
` 1, f/ - DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Fcr:n 523 Bldg. Code
e 13 2S- �
Issued
Date
CONSTRUCTION COMMENCES.
e zone is 1I/Li'
Building Permit - -Is
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LEGAL. DESCRIPTION
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