1975, 03-21 Permit App: K6986 ResidenceCounty of Spokane, Washington
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
Name of Owner highview Acres, Inc. Address t.2, Box 323 Post Falls, IdPhone ll 773- -4281
Architect Industrial Drafting AddressL, . 9510 lrst Phone 928 -77 55
EngineerLandmark Surveyors AddressLiberty Lake , Washington Phone 2 55 -6159
ContractorRobert pielaet Address Rt.2, Box 323 Post Falls, I4hone 773 -4281
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
Lot #5, Block 3, llth Addition to Veradale Heights / V54,7 -
406 as q - I. west quarter of the Northwest quarter of
ecti
• t
cept Best Road.
DESCRIPTION OF WORK: New _x
Size of Lot
84 x 129.62
Addition
Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage System septic nstfram
(Fcor., Con c.,
;v., etc.)
Valuation '
Stories' Dimensions 28 X 44
Rooms a Baths 2 Basement full Foundation Const. concrete
(Full, part, none)
Heat. System Type of RoofingCOmpSition
Use of Bldg. dwelling
PLOT PLAN .ti- G..t�v-'
Total Sq. Ft 2904 3 7 v0
Chimne{iasm Fireplace 2
(Kind) (Number
Ext. Finish Simpson T1 -11 Int. Wall Finish drywall
No. of Units 1 Bedrooms 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH,
$RUTH
State License No.
223 -01 -8698
Ind. Ins. Acct. No.
42024 (State Ins. Fund,
REQUIRED
iee,e)/e h
Plumbing Permit H- — #,a
Heating Permit A & Iii Heating
Sewage Permit Les Waggoner
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information tted s correct and there are no other structures located on this property except
as shown.
3/21/75
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(M, irf DO NOT WRITE BELOW THIS LINE
Your street address will be y .0 6 7 I3 A /1/ /11 k N /?
Sewage Permit Number Issued Building Permit t' CJ"l i Receipt 9///itll Issued
Remarks ()irtt7
The zone isz .aF.
Form 523 Bldg. Code