1976, 02-27 Permit App: L2794 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 40.00
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, 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
P.O. box 14217
Name of Ownerfichard Reeves Const. Co. AIA9kess Phone
Architect 1. Address Phone
Phone
Address
Engineer
Address Phone
Contraaior4k salve
Legal Description of Property (Give complete description from deed, tax receipt, etc )
6 r
Lot 15 Blk. 1 Forest Meadow. ,3 3 �-- -(
928-3076
DESCRIPTION OF WORK: New
Size of Lot
Stories 1
Rooms
Heat. System
Use of Bldg.
Addition Remodel
10.530 87
46x26
Dimensions
Moving Bldg. Zone
Sewage System _RPM', i C
1404
Baths2 Basement full Foundation Const concrete
Full, part, none)
els Type of Roofing
single fam. res.
Total Sq. Ft
comp Ext. Finish plywood.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
OT PLAN
/ Fire Zone
Iy+onst. f rsime
`Fr., Conc., eefd0.00
Chimney m9. s
(Kind)
Int. Wall Finish
No. of Units _
Fireplace 2
(Number
sheetrock
Bedrooms 3
property lines; (2) stree .:. locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
attached
SOUTH
m
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
I her ertify informatio witted is torr and there are no other structures located on this property except
as shown. 2/27/76
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIStIS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
Date
DO NOT WRITE BELOW THIS LINE
/,7
Forest Meadow Drive
The zone is — `1
Receipt V c66 Issued
Form 523 Bldg. Code
114"