1971, 07-14 Permit App: J0052 ResidenceCou ty of Spokane. Washi fon
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 structure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 connection disturbs
the surface, shoulders. o? ditches of County Roads, permission must be obtained from the County Enginee? 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 Walter A. Sullivan
Architect Phone Engineer Phone
Address E. 11017 Mission Ave.
Address S. 23014 Fawn Dr.
Phone Ws. 1t-75149
Contractor AAA Industries
Phone Ke 11-0638
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
The west )4 feet, of 1 of 11 & all of 1 nt 12 i n h1 nek 6 of Kokoma tnUmai to An recorded in
V
11 n • •isr.,a. .,... + . • w
DESCRIPTION OF WORK: New
Size of Lot 914 X 130'
Const. Frame Dimensions
(Frame, concrete, brick etc.)
X Addition Remodel
Moving Bldg. Zone / Fire Zone 3
Sewage System Septic tank Stories -
55' -6" x 32" -Z ) 6 ",v70 ,/ 7'!7 Total Sq. Ft 1691 Valuation 32, 000.00
�aki7 :s�.Y3D
Rooms -7 Baths Basement Full Foundation Const Concrete
(Full, part, none)
Hot water Type of RoofingShake Ex finish Cedar siding
Home imA i
Heat. System
Use of Bldg.
himney Ketal Fireplace 2
(Kind) (Number)
Int. Wall Finish DrY wall
No. of Units _1 Bedrooms ishec
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street o
proposed buildings; (4) distance to property lines and streets; (5) dimen
tem and water supply lines.
m
m
NORTH
See attached plan
road locations; (3) location of existing and
ions of buildings; (6) location of sewage sys-
m
N
State License No.
Ind. Ins. Acct. No.
REQUIRED0h,,iyu,,, 7�
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted /nids correct and there are no other structures located on this property except
6 OJ0.�L J 7-/y_
7/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown.
Your street address will be V i C)
Sewage Permit Number Issued
Remarks
DO NO
RITE BELOW THIS LINE
Building Permit
e zone is
SZ -Receipt
Form 523 Bldg. Code
Plot for boas of L'. & Mars 'salter 1. Sullivan,
Builder, Ali Industries, Spokane, Wash.
Legal disoriptionf
The- west 44 feet of lot 11 & all of lot
12 in b lock 6 oKokomo
s
ite
as recorded in
"J" of plat page 50, Spokane 7s
7
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