1976, 07-06 Permit App: L4578 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 46.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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 onwater 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
Name of Owner Highview Acres, Inc. Address Rt .2 ROY 1152 Post Folic, Pdgne 773-4281
Architect Industrial Drafting Address E. 9501 First Phone 928-7755
Engineer Landmark Surveyors Address Liberty Take, Washing nn Phone 255-159
Cones for Robert Pielaet Address Rt .2 Pnst F�,,// 3854 Phone 773-11281
Legal Description of Property (Give complete description from deed, tax receipt, etcj t' , r�� �s '� —� /4
E 1,30' of N 140' of N; B1ockeVera
DESCRIPTION OF WORK: New 7X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot X20 ,f' %'Y 2% Sewage System septic onst. frame
(Fr., Conc., Br., etc.)
Stories Dimensions 2(iyL.2 plus mud room & storage area Total Sq Ft 1782 Valuation 34,500.00
Rooms .2__ Baths 2 Basement {'n 11 Foundation Const.
concrete Chimney
mason Fireplace 1
(Full, part, none)(Kind) (Number
Heat. System FAE Type of Roofing eadar shake Ext Finish masOnite Int Wall Finish drywall
Use of Bldg. family dwelling w/ 22x22 parade, a+taehed No of Unitsi Bedrooms 2
Residential
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
Ut
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NORTH
I hereby cer
as shown.
SOUTH
A % a J"
ner or Agent
State License No.
223-01-8698
Ind. Ins. Acct. No.
2316-00-036761
Employers Ins. of Wausau
REQUIRED
Plumbing Permit Gold Seal
m Heating Permit A & M Heating
Sewage Permit Les Waggoner
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I'
bm corre t and re are no other structures located on this property except
Ju stilibb•
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
I
Your street address will be . //_-.� - The zone i�s/ wilr
Sewage Permit Number Issued Building Permit J 4j_2/Receipt /Q 7L, d
Remarks
Form 523 Bldg. Code
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