1972, 10-18 Permit App: J4820 Residence►
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ,..0
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 atil
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
an egress.
CO�TY 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.
MOilING 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
1;ahe AL 5 6694
Name of Owner Interland , IPC. Address . Lakeside Rd. , Libertj� Phone
Architect Phone Engineer Phone
Contractor Sante Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot # 7 , block 3 , 10th Addition to Veradale , Spokane County, [:ashington
Parcel number 14542- 2307 ( vie, t %+s/ r�
DESCRIPTION OF WORK:New X Addition Remodel_ Moving Bldg.Zone / Fire Zone J
Size of Lot 90 ' X 1 25 . 87 ' X 90 ' X 125 . 87 ' Y_,_ ,sewage System septic tank Stories 1 1,
Const. Frame Dimensions 38 ' X26 ' 22 'X 2 2 ' ' l Total Sq. Ft. 2136 Valuation S; 27 , 500 . 00
(Frame,concrete,brick,etc.) deck
P"..47:4.1al etmetal
Rooms ‘; Baths 2 Basement full Foundation Const. concrete Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System O11-TA Type of Roofing C Olnp, Ext. Finish T.- 1-11 Int. Wall Finish - r V i•`a 1 1
Use of Bldg.
Residence No. of Units Bedrooms 4
Garage or Carport Attached Garage and deck attached. Private Detatched
I PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed 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.
,
Ind. Ins. Acct. No.
7_ - ::•,1 -i
REQUIRED
See Attached Plot Plumbing Permit J-M Plumbing
en Heating Permit Banner Fuel
m
to N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information subs tted is correc and t.• •• • e no ot.er structures located on this property except
s shown. Inter land , Inc. �s,`,/./, •- 2:...Ag 'r 10-10-72
Owner or Agent Or
iin W. 1 . tCli., President Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. ,
THIS IS NOT A PERMIT. '
Q 144 90 6 DO NOT WRITE BELOW THIS LINE
gYour street address will be /VC 2 Cj •-.4-A---4 -i41 • ,e zone ist /c----' -n --
Sewage Permit Number Issued Building Permit LA Receipt 2O,'.)- Issued .f
Remarks
-, 1-- e, it - i ,r- -7 - / ! .
Form 523 Bldg. Code
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