1973, 02-09 Permit App: K510 Residence r
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $35.00
PIT 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 bythe County and State Health Departments. Where work on water connections disturbs
DP y PP must the surface, shoulders or ditches of County Roads, permission us 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
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 MGR INC. Address E. 219 - 3rd Avenue Phone TF8-6441
Architect_ Phone Engineer Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
____Lots 13 and 14 Except the South 10 feet thereof and the Soutb_1-0 feet of Lots
11 .and_1_2� Block 56 Kokomo Townsite Parcel #28543-56 : A - -
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 102 x 140 !._Sewage System drainfield Stories 1
Const, frame Dimensions 44 x 53.9 a a Total Sq. Ft. 1 x661 Valuation 31 ,950
(Frame,concrete,brick,etc.)
Rooms 5 Baths 2 Basement full Foundation Const. concrete Chimney brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System G.F.W.A. Type of Roofing shakes Ext. Finish forest board Int. Wail Finish dry
Use of Bldg. residence No. of Units 1 Bedrooms 3
Garage or Carport Attached 2 car attached Private Detatched
4C-V 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.
NORTH
X123- G/ - /3- fi8-s
Ind. Ins. Acct. No.
REQUIRED
See attached Plumbing Permit --r--'- -•- ' /.
in Heating Permit -�--
VA
tnn Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information subm tted is correct and there re no other structures located on this property except
as shown. - L���--_, �� 6/(maR:e/),14,..)17 ri.e.:44*
9 73
Owner or Agen 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
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Your street address will be ��� /13 d 6 e zone---is
Sewage Permit Number Issued Building Permit 5�ceipt 7 7 Issued
Remarks A !' .. r. _. ,'.i , ,i.e is
Form 523 Bldg. Code
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