1971, 03-03 Permit App: I3584 Residenceon
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i
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. a
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
Architect
W. M. Reeves
Same
Contractor Same
Phone
Address E. 10919 23rd Phone 928-1407
gineer Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 16 Blk #3 Hillcrest Acres 2nd Add.
2764 z--29-
DESCRIPTION
=Z9`
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone, / Fire Zo el •
Size of Lot 100 X 125 Sewage System Septic Stories 2
Const. Frame Dimensions 514' X 26 Total Sq Ft 2105 valuation 28,000
(Frame, concrete, brick, etc.)
Rooms 5 Baths 2 Basement Full Foundation Const Conc. Chimney Br. Fireplace 2
(Kind) Fireplace
Heat. System FA. Ga S Type of Roofing Comp Ext Finish Cedar Int. Wall Finish 411. Bd.
Use of Bldg. Res. No of Units 1 Bedrooms 3
Gar. Att.
(Full, part, none)
Garage or Carport Attached
Private Detatched
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 streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
rn
rn
N
NORTH
State License No.
IL n Acct. No.
REQUIRED
Plumbing Permit
,w Heating Permit
Tw
to Sewage Permit
-f
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
•
I hereby certify information submitteis correct and there are no other structures located on this property except
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT W WE BELOW THIS LIN
Date
CONSTRUCTION COMMENCES.
Building Permit
e zone is
Receipt 3,9—i Iss -d
Form 523 Bldg. Code
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