1971, 09-14 Permit App: J0701 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT I (--c
GENERAL REQUIREMENTS PERMIT FEE L' -H
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. 1' (;`(,
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 Eugene Miller Address E. 11010 Olive Phone 928-9400
Architect Phone Engineer Phone
Contractor Better Built Const. Address R. 11010 Olive Phone 928-9400
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 11, Blouk X2 Guthries Valley View 5th Addn.
/ 7 , 5- — /7--// C.4a,n4e_' z .-,3 ii,-(2.4,-sz__
3 -,..- � 'e
DESCRIPTION OF WORK:New XX Addition Remodel Moving B1dg9Zone Fire Zone
Size of Lot 85.0 X 150.46 X 173.93 X 75.0 Sewage System Septic Tank stories
Const. Frame Dimensions 3 0. X 28 Total Sq.Ft. 840 Valuation
(Frame,concrete,brick,etc.) fel. Vmney
Rooms 5 Baths 1 Basement Ful 1 Foundation Const. Concrete None Fireplace N.orie
(Full, part, none) r (Kind) (Number)
Heat. System Electric Type of Roofing _(gyp. Ext. Finish Wood Int.Wall Finish Wood
Use of Bldg. Residence No. of Units 1 Bedrooms 2
Garage or Carport Attached 28 X 10 Private Detatched
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.
NORTH State License No.
Ind. Ins. Acct. No.
..
o,_ REQUIRED
_ 1
q Plumbing Permit
-� % - in Heating Permit
us N Sewage Permit
-i -I
W
Plans Received
dP.
o Plans Checked
,
(® . Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 7$, D
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Sept. 14, 1971
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A .ERMIT.
/
,/ , DO NOT WRITE BELOW THIS LINE
Your street address wile • - x, Aft •e zone is _ L./--....•&
Sewage Permit NumberIssued Building Permit Receipt C _2(°( rued
Remarks
Form 523 Bldg. Code