1976, 04-06 Permit App: L3248 Residence 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
Name of Owner Highview Acres, Inc. Address Rt.
2 Post Falls,Id. 83854 Phone 773-4281
Architect Industrial Drafting AddressE. 9510 First Phone 928-7755
Engineer Landmark Suryeyors AddressLiberty Lake, Wash• Phone 255-5159
ContractorRobert Pielaet AddressRt. , Post Fall sr Id. 83854 Phone 773-4281
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
E. 6104 Rich Avenue Lot 6, Block 3 Wellesley Manor 2nd Addition, Spokane. Wn.
r,ESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 95' x 142' Sewage System septic onst. frame
(Fr., Conc. r. )
Stories 1 Dimensions 24x42 w/ 21x22 garage Total Sq. Ft. 1470 Valuation 6
Rooms 7 Baths 1 Basement full Foundation Const. concrete Chimney mason Fireplace1,34,7 .00
(Full, part, none) (Kind) ( umber
Heat. System L'1• baSeboa a of Roofing composition Ext. Finish masonite Int. Wall Finish drywall
Use of Bldg. Re rig w/ 21x22 garage No. of Units Bedrooms 3
,/,&(.4.,_,-4-<_„,---11.1.„,t, .‘47 PLOT PLAN
Draw sketch with dimensions sh : (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.
(,/,
State License No.
/5--,-741 �.�/ 223-01-8698
_
4-• dr Ind. Ins. Acct. No.
n 2316-00-036761
I-' , (Y'6 ' Employers Ins. of Wausau
- Fc - ,rr o REQUIRED
- - I cl Plumbing Permit Gold SEal Mech.
/ TZ
t
O Heating Permit Fobco Electric
64 Sewage PermitLes Waggoner
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- ,
PC
7 / ti 1^ Plans Received
G `�1
Plans Checked
'h z- St.'› Plans Returned
- ' Plans Picked Up
.y Plans Mailed
I hereby-cgrti y inf rmation submit ed is correct and there are no other structures located on his roperty except
as shown.
� ,e ' / 171 6 76
- Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-zyi.
Q1,,, DO NOT W ITE BELOW THIS LINE
Your street address will be p s , A��/ The zone i$ /
Sewage Permit Number Issued Building Permit JEW, Receipt C)//';J Issued
Remarks
Form 523 Bldg. Code