1976, 10-05 Permit App: L5754 DuplexBASIC # 32
County of Spokane, Washington
JOB # 143
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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.
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
Architect Address
Name of Owner
Address - DO_1-'X_' 111217 Phone 928 -3070
Phone
Address Phone
Engineer P.O. TIC. .. 14.217 028 -3076
Address Phone %
R eeves & Assoc. Inc.
Contractor
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Richard Reeves Const. Co. Inc.
=eel T; none Sec 2u- 25 -1C4
Lot 30 Elk. 1 Sherwood Forest
DESCRIPTION OF WORK: New xX Addition Remodel
Size of Lot 191(57x146x1401150
/ 6.. 6
trill 2 �. -7 �
Stories Dimensions
2
Rooms 14 Baths Full, part, none)
Basement Foundation Const
Heat. SystemrleCt B Type of Roofing
Use of Bldg.
Moving Bldg. Zone / Fire Zone
,c} -)tic frame
Sewage System Const.
4064 (Fr., Conc.,,Br., etc.)
Total Sq. Ft Valuation ')-' 500
Chimney -metal Fireplace 2
(Kind) (j\tumber
Ext. Finish Int. Wall Finish (�Y't "Ta. L
0 4
No. of Units __Bedrooms
concrete
plywood
r PLOT PLAN
Draw sketch [th dime sions 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.
m
N
NORTH
RESIDENTIAL — COMMERCIAL
attached
I her
as shown.
rtify nfor
it
State License No.
Di- ch- ar- c245cf
Ind. Ins. Acct. No.
232 -27
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
io submitted is correct and there are no other structures located on this p"rcer:'7 except
10/9/76',
A LAND USE
THIS IS NO ,
Owner or Agent Date
STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
RMIT
Your street address will be
Sewage Permit Number
Remarks
,,,,L-DO NOT WRITE BELOW THIS LINE
{?�c17
Issued
;PAW The zone is(
Building Permit �,..1 r-se� Receipt
Issued
j
Zor
J`05 /gam
Ii # ,3