1971, 02-16 Permit App: I3448 Residence-2— _
'
County of Spokane, Washington
99201
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON ✓ ��
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FE -----------------------;
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.
d by the rk on
`Wh�urfater supply shoulders or bditcheapprove
of County Roads, permissionand State emust bealth pobtained fromrthe oCounty aEngineter er'stofficeisturbs
5.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 4 o t
4leastA25'FisMis rePRERTY LNES In mostquired, al5' ;ide yard,z151 side yardrfromta0flankingnstreet,sandba 251 rearhyardoareprequiredline, of at
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 mus e
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.
Builders should
chock
SiOcovenants
bdtnecemrunning
i
the land
RESTRICTIVE
Dan ringaction to enforce dedications.
Renforceable through
APPLICANT FILL IN BELOW THIS LINE
NuA of Owner W.M.ReeVes Address
E. 10919 - 23rd Phone 928-1407
Architect Same Phone
Engineer Phone
Contractor Same Address
Phone
e complete description from deed, tax receipt, etc.)
Legal Description of Property (Giv
Lots 1 5aand1 Blk 4.3 Kokomo Townsite 9- 5-
9L
a- Y 6, -V ,3 -- -13 V ip
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone T -
100X 130 Sewage System Septic Stories 2
2730
26 X and 26 X 24 Total Sq. Ft. tion 32,000
Size of LotValua
Const. Frame Dimensions
(Frame, concrete, brick, etc.) Brick 2
5 Baths 2 Basement Full Foundation Const. Concrete Chimney Fireplace
Rooms (Kind) (Number)
(Full, part, none)
Heat. System Ti n Ggl C Type of Roofing COmp Ext. Finish
Cedar Int. Wall Finish W. �'
1
Use of Bldg. Residence No. of Units Bedrooms 3
Garage or Carport Attached Gar. Att. 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.
State License No.
m
N
NORTH
Attatched
SOUTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
a
v+ Sewage Permit
�1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structureslocated on this property except
l S
as shown. cra -),` ,2-/6-,9 /
Owner or Agent
A LAND USE OR STRUCTUI
THIS i�O PERr7.
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
NOT WRITE BELOW THIS LINE
Your street address will be_� / L/)
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
Building Permit
06
zone is '�--
ipt Issued
0 &A L TA,14
DRAI'� FreL
4WON" OU104
10
sAl
7,91
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