1971, 09-14 Permit App: J0694 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '7
GENERAL REQUIREMENTS PERMIT FEE.._: _ _,.r (--
PERMIT
-PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure • any
kind or alter any building or structure already erected, or to change a land use. Construction mus •n orm ..e
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 wat• connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County 24gineer'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 prope ine, 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 £uaene Miller Address E. 11010 Dlive Phone 928-9400
Architect Phone Engineer Phone
Contractor Better Built const. Co*Address E.11010 Olive Phone 928-9488
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 5 Block 2 Guthri s Valley View5th Addn.
/ 7 c f2c
DESCRIPTION OF WORK:NewX Addition Remo e) Moving Bldg.Zone ! Fire Zone
Size of Lot 80.0 X 1216.0 X 80.0 X 126. 0 Sewage System Septic Stories 1
Const. Frame Dimensions 36 X 27 Total Sq.Ft. 972
Valuation 18, 000•00
(Frame,concrete,brick,etc.)
Rooms 5 Baths 1 BasementFUll Foundation Const. ConcreteOnA
(Full, part, none) y (Kind) Firepla(Number)
Heat. System Flectric Type of Roofing Comp Ext. Finish Wood Int. Wall Finish Wood
Use of Bldg. Residence No. of Units 1 Bedrooms 2
Garage or Carport Attached 10 x 27 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.
NORTHState License No.
Sd O
Ind. Ins. Acct. No.
REQUIRED
0 Plumbing Permit
m,y J m Heating Pern'iit
to ,{ o Sewage Permit
a. Plans Received
U31.` p 11 Plans Checked
ao•II=111=11111.11iM Plans Returned
Plans Picked Up
Plans Mailed
SOUTH"
I hereby certify information submitted is correct and there are no other structures located on this property except
sh•wn.
II. . / �Ii. _ .40.111.4 . Sept. 14, 1971
Owner or Ayit Date
A LAND USE OR STRUCTU II PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE St:AjtYour street address will be • W• & 'e zone �
Sewage Permit Number Issued Building Permit 41 46ft(Receipt Issued
Remarks T
Form 523 Bldg. Code