1973, 03-12 Permit App: K1185 ResidenceCounty of Spokane, Washingfon
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. 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 BELtOOW' THIS LINE//
Name of Owner �' 7_A1 Address ��� : / k--yoig Phone �d� -'l R26 Z
Architect Phone Engineer Phone
Contractor �/��7'i� Address Phone _
Legal Descr' tion of Property (Give complet6-2—
DESCRIPTION
descript'on from deed, tax receipt, etc.)
a�r 6 g2 — —
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot Sewage System c56f77 fs Stories
Const.'`�/�l,E—_ Dimension. �;�Xo2'L -t— TX, Total Sq. Ft. 1.5'.3 O J Valuation ZbS�
(Frame, concrete, brick etc.)
Rooms Baths — Basement _. r -Foundation Const. Chimney/4Fireplace
�� ,,�� (Full, part, none) (Kind) (Number)
Heat. Systems 4a�Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units / Bedrooms _
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water sunDly lines.
r
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 _.
I hereby certify information submitWd is c rect and there are no other structures located on this property except
as shown. _/® /1,11 / _
Owner or Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
dr Your street address will be
Sewage Permit Number Issued
Remarks
-F., 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
I
Building Permit
zone is
ipt'46 2.7 Issued
3
3Q
PART OF SW1 OF SECTION28, T.25N.,R.44E.W.m.
SPOKANE COUNTY, WA6HINGTON
SCALE: 1" = 100' DATE: April 12,1973
This will certify that a field survey was performed under my::super-
vision on the following described property and the property corners
were found as shown.
DE90RI
ARCEL "A', The west eight feet of Lot Seven (7); All of Loi.
g t • and the East 26 feet of Lot Nine (9), All in Block
Thirty(30, KOKO.140 TOWNSITE, according to plat recorded:tn
Volume "J' of Plats, Page 50, In apokane County, Washington.
PARCEL "B" Lot Nine (9), EXCEPT the East 26 feet; All of Lot
Ten "10", and Lot Eleven "11", EXCEPT the West 40 feet, Block
Thirty 430 , KOKOMO TOWNSITE, according to plat recorded in
Volume 'J" of Plats, Page 50, in Spokane County, Washington,
LAWRENCE V. DUNSMORE
PROFESSIONAL LAND SURVEYOR
NORTH -1208 HERALD ROAD
SPOKANE, WASH. 99206.
WA 4-9748
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