1972, 11-27 Permit App: K167 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 53 �' o
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 a
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 A AA Industries Address B-4o17 Mission Phone Ke 4 0638
Architect Phone Engineer Phone
Contractor Address A A A Industries Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lots 21 4 22, Block 37, Kokomo Add.
Spokane County, Wn. Parcel f' 28543-3703
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone 1 Fire Zone 3
Size of Lot 100 ' z 120'
Sewage System Private Stories 1
p
Const. Frame 6 0 . 2yp...ca.
Total Sq.Ft. 2572 Valuation 34,000 .00
(Frame,concrete,brick etc.) �{
Rooms g Baths Basement,o I � Foundation Const. concrete Chimney/t SJ1 r Y Fireplace 2
ELecrA)�, (Full, part, none) (Kind) (Number)
Heat. Systemf OT'Ced &Hype of Roofing solit shakeExt. Finish L. nidi tg Int. Wall Finish Dry wall
Use of Bldg. Home c.;‹, rte-� e T To, c/-P , 1 3
No. of Units Bedrooms
Garage or Carport Attached Attached 22 X 26 t 416 Garage 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.
Ind. Ins. Acct. No.
REQUIRED
'gee attached Dian
Plumbing Permit
in Heating Permit
in
to N Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
((Bry Plans Mailed
h SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. n
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
y` DO NOT WRITE BELOW THIS LINE
Your street address will e �. (J g/f l/(41-'-x_ .e zone is2—
Sewage Permit Number Issued Building Permi Receipt 7 Issued
Remarks
411,
Form 523 Bldg. Code
Legal Di cri ton:
Lots 21 & 22, block 37,
Kokomo . ookane County, 'tin
Parcel# 28543-3703
North
100 '
•
12a ' ' 120'
16'
GARAGE LIVING AREA
0411
I
.�. r _ 100 f y .. _
28 th Street