1971, 05-03 Permit App: J2889 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 Cj
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ob
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.
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-BACK47FlOttirROPERTY 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 Address Phone
Architect Phone Engineer Phone
Contractor fS S 1` P d O S T Address/%;R.'4e G Pr' Agitailigiiti4Nt-,LPhone )7/Z' ?4I 73 j
Legal Description of Property (Give complete description from deed, tax receipt, etc.) W, /3, b'6, f7; c c Lir
.:Z_ a.jt_ Lot /' -d- 1/7e 4'. 22. Si' P7 c P 1. or / j310 c 3C
/ c ,r.'7.!tid r`, .ti YI S `-/' .. /D7 'J -'— -76. 0/.
DESCRIP OjN2F WORK:New 4L- Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot ` °L X / 3 Sewage System S F pts C Stories /
Const. FA'/ /vl F Dimensions .1 g' / Z ./ A 2 7 e Total Sq. Ft. e" Valuation .Z7 0 60,Uc
(Frame,coperete,brick,etc.) , . 3 O ,.,�
Rooms (6 Baths 2 Basement Foundation Const. G/' it C CZ t, 1- e_ ChimneyWaSe•vf/'1 replace Z
(Full, part, none) / �{ / (Kind) J (Number)
Heat. System CJ C�J Ty/pe of Roofing CL S O 5 /. Ext. Finish_ /d/iv c� Int. Wall Finish 0 L( I.L e�(1
Use of Bldg. c/ R-e_ s r C ...a -:.-c 7 J No. of Units / Bedrooms -3
Garage or Carport Attached ''(,-0-- 2 O ' -X 2 2 f 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.
e State License No.
,cc•� S'6 ' / ' 2 3 c' / /1 7/
VI Ind. Ins. Acct. No.
/0 `—
it) i,91 s' REQUIRED
L .` Plumbing Permit G%_e_e,4.,
Heating Permit
tki 1 (r it Sewage Permit
.. iNi
—s r d/i=-- Plans Received
/ -4 r2 Plans Checked
• I Plans Returned
ryPlans Picked Up
I Plans Mailed
S h
I hereby certify information submitted is car a t and there e no other structures located on this property except ;'
as shown.
�- ` ' /5/7 / /
Owner or Agent D to
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Air) 741,4(40....-4n1 DO NOT WRITE BELOW THIS LINE
74 Your street address will be / /�_ The zoneCis �=-r' .'� �
Sewage Permit Number Issued Building PermitQ01 Receipt// Issued
Remarks //
- .
or
Form 523 6Idg. Code
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1.)11,ti. L.,i'..,644- ci" ok,..k,i'd,.A.‘i ? T. 25N. , R 44E, 1.M.
L;Pk.i.A.,E GiAivil.1, ki..21111.UTt.,;., 1
,;.C.A1..0.,: 1" = 100' 1.miT,-.4 A oril. 14, 1972
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rhis 44 ill certify that ft ftt'1 survey was Terforme=-4 under my. sr!neriision :)n
ti..e following described yrcerty =ind the property corners• were set 45 Shown.
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Cru : Lots 1 thrii 12, t3lock Y., located in Kokolo T OWT1S i t e i)4s recordi‘d
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. • . '. in folunic ,"J"• Records of 'Pia ts , PagR• 5Q; .S pokarie'Couiity', 'Wash.
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PARC '1, "1" Fast7.2 ;feet of Worth on o...h4:11f of Block 36 locat.od in Kokomo
Townsite ,:s recorded in follme, "J" Record. of Plats , PaFre
Spokane County;Wa.shinfton, .
i.,.ast 1'74.40 feet S';..Ci it '87,20 feet of North one.;:ialf of I,
Block '36
rl 61!, ,.;,41,:i i3t, 261.60 fr-,-,t EXCe,i't Fast, •174.40 feet Of' worth one...half of
Dlock V.., ,:tc,,
"h'" ;2t.. 3/.4,8.i30 feet, ,.'..-;,(..:EP11 East 261,60 feat of North one-half of
!-'1_ock 36 etc.
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PARCL.I., "5" t t4'36.00 feet L',Acyr Inst 348.50 feet of north one-half of .
3 lock :i6 etc.
i-A.A..;.,.i.i. "6". 1?..ist c23.20 feet, i.‘...i.‘;',...:Pf Fast. V36.00 feet of North one-half of
ilock 3(.; etc. '
"7" All of the North one-half of. flock 36 ibcated in t,o'kryno Torn-
1te itf.; r,ecorded i.ti lolume "J" 10,-;eor,-.1 of Plat,s;' Pag_e (?; Spo-
. kane: County, Wasbink,ton. 'E'A.L:tia'r East 523.20 fee itYirN
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