1976, 02-27 Permit App: L2791 Residence= i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 50.00
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
P.O. Box 14 217 Cpokurrep hone 928-3076
Name of OwnwRichard Reeves Const. Cn _ guess
' rchitect Address / Phone
Engineer Address ' -471.---1---7-4(.fG Phone
Address Phone
Contractor same
Legal Description of Property (Give complete description from dee , tax receipt, etc) '
Lot 6 Blk 2 Forest Meadow 93 - f
t
DESCRIPTION OF WORK: New X Addition
ize of Lot 120x140
htories Dimensions 253E62
Rooms 7 Baths 2 Basement yes
^ ) (Full, part, none)
Heat. System elec Type of Roofing
Use of Bldg. s i ntrl e fam. res.
Remodel Moving Bldg. Zone / Fire Zone 3
Sewage System Septlo Const)rrime
Fr., Con , Br., etc.)
Total Sq. Ft 1931 Valuation -000.00
Foundation Const. C011. Chimneind)
FireplaceNumber
Ext. Finish plywood Int. Wall Finish sheetratok
No. of Units ). Bedrooms 4.
COmp
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
-4
NORTH
PLOT PLAN
property lines; (2) street or road locations, (3) location of existing and
lines and street mens ions of buildings; (6) location of sewage sys-
>te-c-'7
attached
as sh
I hgteby certify
SOUTH
tion submitted}s-�orrect and there are no
m
State License No.
Ri-CH-AR-C245CF
Ind. Ins. Acct. No.
232-267
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
.
other structures
located on this property except
2/27/76
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
Clive 1114 i),g1 DO NOT WRITE BELOW THIS UNE
Yonr treet address will be $ L4/14/ SUN PO
w� Q� I v� ! The zone is
Building Permit
Sewage `Permit Number Issued -
Remarks
COMMENCES.
iL
Receipt 0 ra, Issued
c „n 523 Bida. Code