1976, 06-10 Permit App: L4257 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 mast 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 y '• - •
Phone 773-4281
Architect Industrial Drafting AddressE. 9510 First Phone 928-7755
Engineer Landmark Surveyors Address Liberty Lake, Wash. Phone 255-5159
773-4281
Contractor Robert Pieleat m Address Rt..2 t Post Falls, Id. 8385Lphone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) _
Lo t 9, Block 3 Wellesley Manor 2nd Addition to Spokane County, Wash..
i
DESCRIPTION O, WORK: N2ew X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot Sewage System septic ConsConcraBt etc.)
Stories 24 x 42 w/ 21x22 garage Total
1—Dimensions Sq. Ft. 11470 Valuation 30700.00
Rooms .7____Baths 1 Basement full Foundation Const. concrete Chimneymason Fireplace
(Full, part, none) (Kind) 1
(Number
Heat. Systems basebo ripe of Roofing composition Ext. Finish masonite Int. Wall Finish drywall
Use of Bldg. Resiclenv., garage attached No. of Units 1 Bedrooms 3
(A' k.Q. ,,(ii _ -1, ,at-k- 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.
HState License No.
/4/.. .-J 223-01-8698 _
Ind. Ins. Acct. No.
2316-00-036761
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*---cl S > Employers Ins. of Wausau
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.-, REQUIRED
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�-� rl• Plumbing Permit
P_ lJ ko1co Elect XX
0 ‘c -e ea mg Permit
� o — _ -_ sewage PermitLes Waggoner
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` V- __ � nq Plans Received
`Z`' - �� % Plans Checked
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c Plans Returned
VI -t Plans Picked Up
S Plans Mailed
I her-. ti inf.rmat suiiitted is torr-ct and there are no other structures located on this property except
as shown. /�
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i, Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(�,1,1 •-�f,�,,t f%lam DO NOT WRITE BELOW THIS LINE
Your street address will be C , /,_ . /�' �'. .1L,(t"`1, , (J,-:t k' _ The zone is i L.',..1.1 t I f l t(. .4\,-,',,_-
Sewage Permit Number Issued Building Permit,. _ Receipt Issued
Remarks
Form 523 Bldg. Code