1976, 04-06 Permit App: L3247 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 56.00
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 ACrPS, inr'- Addres • .. . i _ Phone 773-142$1
Architect Tnriustrial Drafting Address F..9510 Fire_ Phone 928-7755
Engineer I.anrinark Surveyors Address Liberty Lake, Wash_ Phone255-5159
Contractor Robert Pielaet AddressRt-2, Post Falls, Id.. 83854 Phone77 a1I.281
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
E• 16107 Rich Lot 6, Block 1 Wellesley Manor-_2nd A rid i f inp: Spokane, Wsh-
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
00 ize f Lot 105' X 163' Sewage System septic Const. frame
/ (Fr., Conc., i
Br., etc.)
:ySq. Ft. 3 Valuation
riesDimensions 24 x 40 w/22x22 garage & 4x6 deck Total2 88 34 000.00
Rooms 6 Baths 1 Basement full Foundation Const. Concrete
Chimney mason Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System FAE Type of Roofing Composition Ext. Finish T1-11 Int. Wall Finish drywall
Use of Bldg. Residential family dwelling wf 22x22 garage No. of Units L Bedrooms 2
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
/• oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tte and water supply lines.
t y State License No.
'2. 'a -� 223-01-8698
- 1' Ind. Ins. Acct. No.
-� �9 r� 2316-o0-036761
:#- \i' �° — / �'zZ' Employer's .Ins. of Wausau
i- C�, ,6 'moo 3
o t ` ��4c - C. REQUIRED
1 - _C _ _ Gold Seal Mech.
i, PlumbingPermit
'3° -SC e Heating Permit A & M Heating
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'X'' 9:.$ Sewage Permit Les Waggoner
e- -ii. 7i,c71Z/-jj - Plans Received
Plans Checked
,A& SC 7 Plans Returned
-,v Plans Picked Up
CI Plans Mailed
d . -9/ �(
5.44444
I hereby certify information submitted is correct and there are no other structures located on thi property except
as shown. .1 , r��
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-/fr )1 ,t DO NOI'RITE BELOW THIS LINE ��
e. ,
/6 D7 / ) _ 1/
Your street address will be � )�--��c--Gi The zone is /
61—z-j
Sewage Permit Number Issued Building Permit Receipt d/// Issued
Remarks
Form 523 Bldg. Code