1971, 10-14 Permit App: J0998 Residence40
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 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 Off1ice.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROP RTY LINES. In most zones and under most circumstances, a set -back from the front property tine, of at
least 25' is requited, 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 Interland, Inc. Address 12720 E. llth Phone 928-0185
Architect Phone Engineer Phone
Contractor same Address Phone
Legal Description of Poperty (Give complete description from deed, tax receipt, etc.) a l's .9 "
L 4 i y
Lot 14, Blk 3 Wellesley Manor 1st Addition to Spokane County, Wash.
,i
DESCRIPTION OF WORK: New Y Addition
Size of Lot 10411160 I x1 fl
Re
model
Moving
4 t x160 Sewage System Septic Tank
Stories 1
�' x�6' 20' a�0 6' xl COkTotal Sq. Ft 243 valuation 323,250
concrete Fireplace a t81
(Kind) (Number)
Ext Finish T-1-11 Int. Wall Finish Drywall
No. of Units Bedrooms 4
Private Detatched
Bldg. Zone 1 Fire Zone 3
Const Frame Dimensions 3 (,�
(Frame, concrete, brick, etc.) u
Rooms 8 Baths 2 Basement full Foundation Co
(Full, part, none)
Oil FA Type of Roofing
Residence
Heat. System
Use of Bldg.
Comp.
nst.
Chimney
Garage or Carport Attached garage And (aF'rtir
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
1
NORTH
tattachpd
PLOT PLAN
property lines; (2) street or road locations;
lines and streets; (5) dimensions of buildings
See attachled plot
I hereby c ify inforngation
Owner or Agent
as show
SOUT
type
(3) location of existing and
; (6) location of sewage sys-
State License No.
2223-01-11051
Ind. Ins. Acct. No.
279,514
REQUIRED
United
Plumbing Permit
iw Heating Permit
Sewage Permit
Banner Fuel
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tedis orre nd there are no other structures located on this property except
_ l0/1i71
(
Date
A LAND "E 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 d,
Sewage Permit Number
e zone ism/ C. c
Lg=
Receipt ��
Remarks
Form 523 Bldg. Code
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