1974, 08-12 Permit App: K5631 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT f'-
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 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 Tnterl-.fl( , ,,i • Address t,, ,S 255-47694.
- tect%�ysr ° Phone gineer ,"/J7
Lake c 0 1 9
tja_�e Piione=�_
Contractor Address 7.7. e Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)/t.2.. .2...././ Z4
Lot' _ 12 ; = loc': 1: 11 t i _ ition to Verac.ale :.eights
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone 3
^37 tiG
Size of Lot - -�- -� • -- ^> �' . �' � ' Sewage System ar Stories
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Const. '''ra."' a Dimensions 2' 1 l 624
Total Sq. Ft Valuation `•' � � r -� ° � • U
(Frame, concrete, brick, etc.) •
Rooms Baths °• . - - Foundation Const on.Creta Chimney r1C�° Fireplace
(Full, part, none) ''OOty 4'itl (Kind) (Number)
Heat. Systemr'/' "a.^ Type of Roofing r'OfPOSitiOl xt. FinishTrtial brici t. Wall Finish allbOarC'.
Use of Bldg. -inc-le F a l ly e. i ence No. of Units 1 Bedrooms
Garage or Carport Attached Yes
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 ar.d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and wager supply lines.
1
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F
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E. 7446 cal,,
45'-o"
NORTH
;2S'
a I M
State License No.
223 -0 7 - 11051
Plumbing Permit -7 _. 1)1 UIr i nC( •
6 m Heating Permit .' & 1`1 'eating
Sewage Permit
°'~ Construction
.Y t/f
(roland ? alker)
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted( is co'dect an th• no other stv ctures located on this property except
as shown.
Interlan , Inc.
Owner or Agent
THIS IS NOT A PERMIT.
{-?..51 S/12/74
-mil CII�J //-
Date
DO NOT WRITE BELOW THIS LINE
Your street address will be c3" ) se zone
Sewage Permit Number Issued Building Permit r-4 Receipt
Remarks
Form 523 Bldg. Code