1973, 03-12 Permit App: K1413 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHIk
APPLICATION FOR LAND USE OR STRUCTURE
GENERAL REQUIREMENTS PERMIT FEE.. r!____ ________________
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. %hbtr»5- e6C6M,11 ►A_1 Address F -2!/f U�19= Phone u✓/g Y&6-2
Architect_ Phone Engineer Phone
Contractor _Yee, Address Phone
Legal Description of Property (Give cpmp�ete de�iption from deed, tax receipt, etc) d`Z �`�L/ � t? cI)6
DESCRIPTION OF WORK: New Addition Remodel MovingBldg. Zone _� Fire Zone --
Size of Lot_ Sewage SystemStories �
;
Const. '_ Dimensions f.&;f Total Sq. Ft. Valuation �%ee3 e-)
(Frame, concrete, brick, etc.)
Rooms__ Baths Basement?Foundation Const. ��.vef Chimney% Fireplace
�j (Full, part, none)G (Kind) (Number)
Heat. System 66! � Type of Roofing 02-Y? L) Ext. Finish z�l ?/v �� Int. Wall Finish
Use of Bldg. �!/1t€'rG ���r�.�u�F� No. of Units _ Bedrooms
Uarage or Carport Attached__L��+�`� 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.
G✓)
mil F_ rzry ---
State � No.
Ind. Ins. Acct. No.
REQUI ED
Plumbing Permi r' ,k
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information sub m} ted�s correct and there are no other structures located on this property except
as shown. In .
, —, //
Owner or g t Date
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 ! �'�')
The zone is �-
Sewage Permit Number ^ Issued Building Permit Receipts SIssued
Remarks
Form 523 Bldg. Code
10
PART OF SWJ OF SECTIONZ8, T.25N.,R.44E.W.M.
_ SPOKANE COUNTY, WASHINGTON
SCALE: 1" 100' DATE: April 12,1973
This will certify that a field survey was performed under my,.;super-
via'Ion on the following described property and the property corners
were found as shown.
DESCRIPTION:
PARCEL "A" The west eight feet of Lot Seven (7); All of Loi.
Sight (8)• and the East 26 feet of Lot Nine (9), All in Block
Thirty(301, KOKOMO TOWNSITE, according to plat recordv& in
volume "J" ofP a�,�po ane Coun�y, ton.
PARCEL "'B" hot Nine {9), EXCEPT the East 26 feet; All of Lot
Ten "10", and Lot Eleven ';11% EXCEPT the West 40 feet, Block
Thirty'(30), KOKOMO TOWNSITE, according to plat recorded in
Volume 'J" of Plats, Page 50, in Spokane County, Washington
LAWRENCE V. DUNSMORE � Of WASy�
- tSSIONAL LAND SURVEYOR h
RTH 1208 HERALD ROAD
OP4KANE, WASH. 99XCT -v
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