1971, 02-17 Permit App: I3489 Residencei( r 1111 a
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
REQUIREMENTS PERMIT FEE_._��
GENERAL
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 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- Wherel he structure abuts a State Highway, clearance must be obtained pertaining to set''bac'e 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 BU.T,LDINGS. 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
Address E. 10919 - 23rd Phone 928-1407
gineer Phone
Address Phone
description from deed, tax receipt, etc.)
Name of Owner
Architect
W.M.Reeves
Same
Contractor
Legal Description
Phone
Same
of Property (Give complete
Lots 13 and 14 and tie West 10Ft.of lot 15- Blk 31 Kokomo Townsite.
—3 t d z
DESCRIPTION OF WORK: New X
Size of Lot 110 X 130
const. Frame Dimensions 36x24 — 34X50
Addition Remodel
Moving Bid . Zone / Fire Zone 1
Sewage System Septic Stories 1 2 -�
Total Sq. Ft. 4152 _valuation 38,000
(Frame, concrete, bricl, etc.)
Rooms 9 Baths 44'Basement Full Foundation Const Conc , Chimney Brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System F. A. Gas Type of Roofing Shake Ext Finish Cedar Int Wall Finish W d•
Use of Bldg. Res. No. of Units 1 Bedrooms 4
Garage or Carport Attached Gar. Att.
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.
m
NORTH
Attatched.
SOUTH
m
N
State License No.
Ind. Ins. Acct. No.
RE^ • ED
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. iii
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT
OW THIS LINE
Your street address will be
Sewage Permit Number
The zone is
Receipts
Building Permit
Remarks
Form 523 Bldg. Code
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