1972, 10-10 Permit App: J4690 Residence T
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERt. L . EQUIREMENTS PERMIT FEZ_./-'..__�.
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. 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 dedlc tions.
APPLICANT FILL IN BELOW THIS LINE ���
Name of Owner a /'4.W.4 f Address / i _ / M_ i , r Phone / 1 . 7.J3
Architect Phone Engineer Phone
Contractor Address — Pho.e
Legal Lescriptio o ' operty Gee complete ription from dee., tax re ipt, �ettcc. /�' 'p � �r —fd
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DESCRIPTION 9111LF WORK:New Addition Remodel Moving Bldg Zone / Fire Zone /
Size of LJ t I c` - /3/) p /� Se age System �` --Stories '. i_
Co. ,i/.��� _. Dimensions ,A 9421 2 6 ,3 i.24 ..�/•)� cal Sq.Ft. /417 Valuati Ili.:_
(Fr !'e, oncrete,brick,etc.) / / x /
.ms , Ba . Base •-• .-• / oundation Const. 1YtL/2 Chimney .lace
(Full, par one) ) (Kind) (Numbe
Heat. System .c.c-- Tye/- of Roo�7fi` Ext. Finish =
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Property Survey
The East 19.28 feet of Lot ].L - of Lot 15, and the West
11.014 feet of Lot 16, loo 29 Ko oro/�/(((JTT]/�•''nsite.
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Property Survey
The East 30.32 feet of Lot 19 and all of Lot 20, Block 29
Kokomo Townsite.
Fors Golden Crest Homes