1975, 08-18 Permit App: L1205 Residence T
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Lt
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-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
iand 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. p
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land C�
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS gLLINE �j `
Name of Owner e . ' 'res /U /( - 6 a Phone J f ( 'S-' 3 !%,
Architect / Address 9 Qd.0 Phone
Engineer Address Phone
Contractor , -rye Address Phone
V e
L escription of Property ( ive com escrip ion from deed, tax re ipt, etc.) • 3 - '- O
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone 1 Fire Zone -
r
Size of Lot; U4r S( ./.,E Sewage System 1` oast. __ —
` FFr., C,�., :r. etc.)/ o_
Stories Dimensions �` Xaa r x a o- Total Sq. Ft..1.,- __Value /•n'f • •
MP
Rooms/Baths Basement�c Foundation Const.. -+-4 Chimney Fireplace '-
Full,
Full, part, non (Kind) (Number
Heat. System 14, Type of Roofing i Ext. Finish 7- 77( Int. Wall Finish 4--"-er"e-"�-�
Use d Bldg. dilb No. of U its_Bedrooms
1rm. l
te
' PLOT PLAN ` `
:w -ketch with dimensi s showing: (1) property lines; (2) street or road lo �
ons; (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:) NORTH62e--6
RESIDENTIAL-COMMERCIAL State ease No.
Ind. Ins. Acct. No.
0-1.0 ,/ I
Plumbing Permit in (Pe...--Y:s3,Permit y�
sj
en is
N N Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify in •. ,:tion submitted is correct and there are no other structures loc:ted o this property except
shown. / ..----
Miner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.`
f THIS IS NOT A PERMIT.
61 .0 DOO(1-1A--4---
NOT WRITE BELOW THIS INE
Your street address will be '�/ 4
/6g i a I ` The zone is i /� v/�
Sewage Permit Number Issued Building Permit o- Receipt a) 6 7'ssued
Remarks
Form 523 Bldg. Code
Chapco Certified Construction �I
? s 10811 E. 26th
Spokane, Wash. 99206
JOB #1i
LEGAL DESCRIPTION: Lots 23, 2L4., Block 29 Kokomo Townsite
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