1974, 04-22 Permit App: K4333 Residence T _
1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT// T.
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 Inter land , Inc. Address - • Lakeside Rd. ,I,l E'rtV one,6B 669C
Architect Phone Engineer Lakt3�� Pho e
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 6; Block 2; 11th Addition to Veradale } eights
rit
iy,_ Vaq,ye
DESCRIPTIOF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot ' 7 Y 125' X 05. 67 X 125 '
Sewage System SStories
etic 1'z
Const. Fra^te Dimensions 26 ' X 72 ' Total Sq. Ft. 1072 Valuation ”4 ,500. 00
(Frame,concrete,brick,etc.)
Rooms 8 Baths 2 Basement PartiiAIndation Const. Concrete
Chimney Brick Fireplace
(Full, part, none) n wood with (Kind) (Number)
Heat. System .ala—Oil Type of Roofing CompositionExt. Finisht artial rim. Wall Finish r'allboara
Use of Bldg. Single Family Residence facing No. of Units 1 Bedrooms 3
T
Garage or Carport Attached Private Detatched y !
1g) 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. 8 !
State License No.
z5:a — 223-01-11051
("--"--...----...._..r.._...._.... �._ 1 Ind. Ins. Acct. No.
- -, 279-514
4,z,t fit t.Q3
UI - -- — -
L, _ -_18.,5! REQUIRED
e)k_ .
° - Plumbing Permit J—'"l Plumbing
�=i Lanner Fuel
i 0 ,^ o Heating Permit
s ,,-
6
u Sewage Permit WSW Construction
o o= - °
f _ (Roland Talker)
t
; - Plans Received
Plans Checked
co, c w Plans Returned
0
o m Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Interland, Inc. April 22 , 1974
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(C1-44-/ .7/1/6241_, DO NOT WRITE BELOW THIS LINE
Your street address will be c, I'Tit7 )4_ A' /1 �-
e zone 184— I ofC—le -
Sewage Permit Number
Issued Building Permit{ J3_3 Receipt 5'I4, Issued`-/--)5/—7
Remarks
Form 523 Bldg. Code