1972, 05-25 Permit App: J3171 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3s� 0"
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 Blaine A. Johnston Address E. 12604 Spragu a Phone 928-5700
Architect Phone Engineer Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) n
Lotl & 8 51k 23 Kokomo Townsite
DESCRIPTION OF WORK: New _X_ Addition Remodel Moving Bldg. Zone Fire Zone I
Size of Lot 130 X 100 Sewage System septic Stories
Const. frame Dimensions L&Ax2(-,+l8x2+ gar 441 Total Sq. Ft. 1691 Valuation 30+000.00
(Frame, concrete, brick, etc.)
Rooms—Baths /4asement fUll Foundation Const. cone Chimney brick Fireplace 1
�
(Full, part, none) (Kind) (Nu her)
Heat. System F• A• aS Type of Roofing comp Ext. Finish masonite Int. Wall Finish she e'Lrock
Use of Bldg. sing3.e family residan(,P No. of Units 1 Bedrooms _3
Garage or Carport Attached double attached Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH
—100 _
/30, p Ti 4"J
a
9 ° 0 F�►- o
h1
v
I�-
State License No.
2?3-o1-6253
Ind. Ins. Acct. No.
91-o689895
RE9UIftD
Plumbing Permit
Heating Permit
Sewage Permit _
Plans Received _
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed —
0 141-1 SOUTH
I hereby certify informatio sub fitted is correct and there are no other structures
as shown. /�j /,
ted on this property except
OwnerocDate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be—L/ The zone is
Sewage Permit Number issued _ Building Permit Receipt
Remarks I D !. ,4 O�-rr._1�//!�f1. _ �� 4 -
Form 523 Bldg. Code
Issued