1976, 02-27 Permit App: L2795 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 Read 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 moped 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 91iaeeents running with the land
whic) are enforceable through civil action. County Officials can not bring action to enforce covenant& or dedications.
APPLICANT FILL IN BELOW THIS LINE
50.00
Name of Owne • . - • -
Architect
Engineer
Contractor
same
lEhN, ,S P .0. Bvx 14217 Phone
Address Phase
Address (cel Phone
Address Phone
928-3�p6
Legal Ddscription of Property (Give complete description from deed, tax receipt, etc )
Lot 3 Blk 2 Forest Neadow
DESCRIPTION OF WORK; New $ Addition
Si Lot 163x175r1 26X53. RR
imensions 47124 2230.2
Baths Basement f1]1 1
Full, part, none)
ones
Rooms
Heat. System
Use of Bldg.
gas
Remodel
Moving Bldg. Zone ( Fire Zone 3
Sewage Systergggpt IC Const. f rn
(Fr., Conc., Br., etc.)
Foundation Const.
concrete
Type of Roofing Comp Ext.
single ram. res..
Finish
Total Sq. Ft.
va
Chimney
-
►Kind)
pl ywc of Int. Wall Finish
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2
proposed buildings; (4) distance to property lines and streets;
tem and water supply lines.
m
NORTH
Iuation 39000
Fireplace
(Number
shePtrock
No. of Units _ Bedrooms 3
street or road locations; (3) locaton of existing and
(5) dimensions of buildings; (6) location of sewage sys-
attached
I here ertify infor
as shown
Owner
or Agent
SOUTH
submitted is correct
State License No.
ri-ch-ar-c245cf
Ind. Ins. Acct. No.
232-267
REQUIRED
Plumbing Permit
Heating Permit
co Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
2/27/76
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
5,4.0 •2 ki 4.24D DO NOT WRITE BELOW THIS LINE
Your street adhress will be
L/O; Forest Meadow Drive The zone is
Sewage Permit Number Issued Building Permit Receipt F? , V C,
Remarks
ued
411
Form 523 Bldg. Code
16,
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