1973, 04-11 Permit App: K1155 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /_ .
GENERAL REQUIREMENTS PERMIT FEE 7v
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.
S' r-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 dedications.
APPLICANT FILL IN BELOW THIS LINE Q'Q-2-) (Ea
Name of Owner AAA Indiistrie_s address 9506 L. First Phone 924-8010
Architect kA Tnciii,tri es Phone 924-8010 Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Parcel #28543 - 3719 Lots 23 & 24 Block 37, Kokomo townsite accoring to
plat recorded in Volume "J" of Plats, Page 50 in Spokane County , Wash.
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone 1 Fire Zone
Size of Lot 102 X 13O Sewage System 4 er 12
Const. Frame Dimensions 23X,46 — lbX211 /LX/ ) Total Sq.Ft. ,9t,?/ ‘,, Valuation38,0c00.020
(Frame,concrete,brick,etc.) 24X25 Garage 4 X I 0
Rooms 6 Baths'1/4.3 Basement Full Foundation Const. Concrete Chimney none Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System Electric Type of Roofing Split shake Ext. Finish CPtis.r si ding Int. Wall Finish Dry
Use of Bldg. Horde .f r{(.tom, t�/ No. of Units Bedrooms
Garage or Carport Attached ('*arage 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.
5 4�P �xc- p( O.K.
0/7'0 yYldd Ind. Ins. Acct. No.
See attached plot plan.
REQUIRED
Plumbing Permit
m Heating Permit
m
cn N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information sub itted is correct and there are no other structures located on this property except
as shown. /
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE /f y �J
Your street address will be Q4c � ,The zone is , �I,Cf
Sewage Permit Number Issued Building Permit /4<///3') Receipt ,2c7 Issued
Remarks
Form 523 Bldg. Code
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ca c L is
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parcel #28543 - 3719
Lots 23 & 24 Block 37, Kokoma
to-nsite according to plat recorde
in Volume "J" of Plats, Page 50,
n. Spokane County, Wash.