1976, 02-27 Permit App: L2788 ResidenceCounty 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, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RES CTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with theland
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicationk
APPLICANT FILL IN BELOW THIS LINE
ons • o 00 *ox
Phone 076
Name of dttner A g25;
Architect Address Phone
Engineer Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc
Lot /4, 131k 6 Forest Meadow
-3
DESCRIPTION OFW881%.11, X
Addition Remodel Moving Bldg. Zone
1
Size of Lot Sewage System SePtie
Stories 1 Dimensions 54X26 2I+X26
Rooms 7 Baths 2 Basement
full Foundation Const..
(Full, part, none)
Heat. System g as Type of Roofing a (Imp
—.Use of Bldg.
concrete
Fire Zone
Const. frame
(Fr., Conc.,Br., etc.)
Total Sq. Ft19 31 Valuation 39000000
Chimney mas Fireplac 2
(Kind) e(Number
Int. Wall Finish sheetrock
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
U1
••4
NORTH
No. of Units Bedrooms
3
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
attached
I hereby
as shown.
Y informatt
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
SOUTH
witted is
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
ct and there are no other structures located on this property except
2/27/76
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be c.
Forest Meadow Drive The zone is
Sewage Permit Number Issued Building Permit Receipt OS -0
Remarks
iPA
Form 523 Bldg. Code
4;1
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