1972, 10-10 Permit App: J4687 Residence T
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0
GENERAL REQUIREMENTS PERMIT FEES
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure ofany
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 Sn'TEM. 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.
COI4TY 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.
�� PPLICANT FILL IN BELOW THIS LINE C' r�`
Name of Owner /._ 4 a _.4_i _Address Phone y_X7,3
Architect_ Phone Engineer _ Phone
Contractor . 1'74-IL-- - Address7 e
,1;71 Desc ipti•n of Property (Give complete descri: 'on L •m deed, tax eceipt, c.)� _ I_ - ,
, .J.' .i./10.., _ i - .c:5--- -, .....,.....r.... ,, ......•,......,/ / ' - .
f - '' ' / . . ' 2 _I a- I. ', // , . 1-..--
DESCRIP ON OF WORK:New Addition Remodel Moving B1 .Zone l Fire Zone
Size of Lot rl_ ,j .k l3 cJ Sewage Syste -Storied
Const. . Dimensions Sle6.Y p2 o2/ Yc?/f Total Sq. Ft. ..20f0 Valuation o2, 'dZ,P-e
(Frame,concrete,brick,etc.) X
Rooms 7 Baths Baseme. �i ._ otindation Const. Chimney 'ire ce
iiik (Full, par/one) 4 (Kind) (Number
Heat. System r T pe of Roofing 46' ow.. . Ext. Finish0, Int. Wall Finish
Use of Bldg. AM, _ -10/,� / No. of Units Bed�i%oms
Garage ` - - tached 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.
NORTH State License No.
01013 -n 1 -'471419
Ino. Ins. Acct. No. 7-7j
R D
* i-Gi'
rp l/ Plumbing Pe
ni
1•�� m Heating Permit r '
ut N Sewage Permit
-I -1
Plans Received
Plans Checked
i
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert' y inforp:tion subaitte. i correct and there are no other structures located/on this property except
as shown.
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_ Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMME ES.
THIS IS NOTA PERMIT.
R� 10721 -26th.
�'LL 4't4'-'*' `'Corrected Lega'i The E. 39.9Y of Lot 16, and the W. 41 .36' o Lot _.
KokomtTownsite. Pty.. of 28543-2922-2923. s - .
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Form 523 Bldg. Code - 6-ZI- al-91)21-17
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AW 6 ,6d 7--Property Survey
The East 39.96 feet of Lot 16 and the 'Nest 41.336 feet of Lot 17
Block 29 Kokomo Townsite.
' For: Golden Crest Homes
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Property Survey
The East 9.64 feet of Lot 17, all of Lot 18 and the West
20.68 feet of Lot 19, Block 29, Kokomo Townsite.
For: Golden Crest Homes
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