1975, 11-12 Permit App: L2065 ResidenceC&fY P of Spokane, Wash ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ._
APPLICATION FOR LAND USE OR STRUCTURE PERMITL
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
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 CUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. r
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running witb'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 c J�
Name of Owner 1W. �-64,4 r i Address fV Phone EA 7
Architect Address Phone
Engineer Address Phone
Contractor r�� �s,G (.e� Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot /.JO X / -i -2
Stories 'Dimensions
Rooms ig_ Baths Basemen Foundation Const.
Fu I, part, none
Heat. System Typ of Roof'ng )� l
7 t'i Ext. Fi
Use of Bldg. i� , 1 /. ,lt��a� ��t - &4e-%
Moving Bldg. Zo e_ Fir gone
_ Sewage System _]cL��` onst�'
_ FFr., Conc., Br., etc.)
a-'4UTA--Total Sq. Ft. �j�' Valuation I v
K < Ciao "� z
Chimne(Kd) F'replac (Nu berf�
�Jf Int. Wall Finish \✓ _ �-^
No. of Units _ Bedrooms —'j
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.
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NORTH RESIDENTIAL — COMMERCIAL
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State License No.
OK - dX)- fiX�
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3l ST ie zr SOUTH
I hereby certify informati su itted is correct and there are no other structures located on this property except
as shown._/ i _
Owner or Age 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 /
Your street address will be rd®!d�-V .QX wy��_- ,/> The zone 17'�'�"r^`
Sewage Permit Number Issued Building Permit Q S Receipt /4,5$ Issued
Remarks
Form 523 Bldg. Code
he East 0 18 and ALL of Lo
Sketch showing survey of f a t 37.feet t of Lot t 19,
Block 50, Kokomo Townsite in the County of Spokane and in the State of
_ KIashingt on.
10
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I"= 20'