1971, 10-14 Permit App: J0997 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit 1s required by County Resolution to erect a building or structure of an,y
1, kind or alter, any building or structure already erected, or to change a land use. Construction mast 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 47235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property 14ne, 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.
COUNS!Y 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
High4ay, 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 Interland, Inc. Address 12720 E. 11th phone 928-0485
Architect Phone hi. Engineer Phone
Contractor same / / Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) C .5—.9-1
Tint 6, hl ark 13 p&kan
.:Ls 0C.
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
taStories 11:
tank
Size of Lot 104,x 160'04'x160' Sewage Systemseptic
Const Frame Dimensions36' x21' 20k20' —10' x10' de clFotal sq Ft. 2012 valuation 21.500
(Frame, concrete, brick, etc.)
Rooms_ Baths _,� Basement Pu11 Foundation Const ever to Chimney Fireplace to
( uN—m-tleiJ ],type
(Full, part, none) (Kind)
Heat. System Oil FA Type of Roofing ramp Est Finish T-1-11 Int. Wall Finish Tirywe11
Use of Bldg. Residence, garage and deck attached No. of Units Bedrooms _3___.
one
Garage or Carport Attached
Private Detutched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road Iodations; (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.
fiv
en
en
H
NORTH
See attached plot
I hereby c
as shown.
x
SOUTH
Iliknformatio submf
er or Agent
correct and
State License No.
223-01-11051
Ind. Ins. Acct. No.
279,514
REQUIRED
Plumbing Permit United
Banner Fuel
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
•
ate
A LAND US 0 TRUCTURE 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 0 / 9 a ,e zone 15/ " —
Sewage Permit Number Issued Bui :i ng Permit ' ii7 Receipt—at / Issued
Remarks -�
Form 323 Bldg. Code
50
5a'
4(q---
-Dia
Q ---
So'
Sa
CA 2 p
i
A�
_I I
FlioIt, ar->
Lal
4S'
D
T
;a-
t
i3