1976, 02-27 Permit App: L2797 ResidenceJ/Stori»DimensiinsDar
25x47 12x22
Rooms Baths Basement- Foundation
(Full, part, none)
1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 50.00
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, Flearance 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 theiend
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS UNE
Name of Ow erRiehard Reeves Const. Co. Aldd As P.O. Box 14217 Phone 928-307
Architect Address Phone
Engineer Address / 9_2( y Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 4 Mk. 1 Forest MPArinw
DESCRIPTION O WO New x Addition
Size of Lot OF
Remodel
Heat. System
Use of Bldg.
Flee Type of Roofing
single fam Res.
Moving Bldg. Zone / Fire Zone
Sewage System septic onst. frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 21000 Valuation 39 , 0000
Const concrete Chimney mas Fireplace 2
(Kind) (Number
Ext. Finish plywood Int. Wall Finish s h e e t roc k
No. of Units _ Bedrooms 3
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 stets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
I her certify informat
as shown
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be
SOUTH
ubmitted is c/o�QG/ t and there are
m
N
1
State License No.
ri--ch-ar-c245cf
Ind. Ins. Acct. No.
232-267
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
2/27/76
`{O ( S
DO NOT WRITE BELOW THIS LINE
Forest Meadow Drive
Sewage Permit Number Issued
''Ciemarks
—fa
Building Permit t,;
The zone is
Receipt) S Issued
Form 523 Bldg. Code
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