1972, 10-18 Permit App: J4821 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 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.
MOV7NG 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
Liiser ake AL 5 6694
Name of Ue _
nerT)torla�Ic-L, T„ e.C _ AddressSn. Lai;eSidroad Phoney"
Architect Phone Engineer Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot #6 , Block 3 , 10th Addition to 'Yerau.a,1 e , Spok. . . , , T ' •, • .
Parcel number 14542- 2390 r9e'7h 15
DESCRIPTION OF WORK:New, Y Addition Remodel Moving Bldg.Zone 7 Fire Zone 3
Size of Lot 9(; _X 1 2 5 . 8 7 X 90 'X 1 5 . 87 Sewage Systemse ...tic tank Stories 1
Const. Er a me Dimensions 38 ' 3(26 ' 22 ' X22 ' 6 ' X101fiaaNti. Ft. 2 4 t, valuation 27 , 500 . 00
(Frame,concrete,brick,etc.)
Rooms � Baths 2 Basement f 111 1 Foundation Const. C O 1'i C r e t e Chimney Fireplace metal
(Full, part, none) (Kind) (Number)
Heat. System ; i 1 - FA Type of Roofing Comp. Ext. Finish ,l-1-11 Int. Wall Finish i)ry We 1 1
• of Bldg. Residence No. of Units Bedrooms 4
;e or Carport Attached Garage and deck attachedPrivate Detatched
PLOT PLAN
4
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.
NORTH State License No.
223-01- 11051
Ind. Ins. Acct. No.
279- 314
REQUIRED
See Attached Plot
Plumbing Permit.J-vi Plumb 111,?
en Heating Permit Banner Fuel
en
toSewage Permit
IA
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informs ion s bmitted is ., ect and there are no other structures located on this property except
as ShownInterland , Inc. ,, 1 : I':B,, _ 10-18- 72
Owner or ;:e1 .,oj : i `,':. !:ach, President Date
A LAND USE OR STRUC - E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
RP- (9, 34,,,:tti° a) DO NOT WRITE BELOW THIS LINE
Yo street address will be Z�/j/ _rCy /►. / �� '�''
The zone is /
Sew ge Permit Number Issued Building Py�i� ceipt �/� Issued /
Remarks �, �/
c�n� � � - ,/,-,, — 7 Z /Vi
Form 523 Bldg. Code
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