1976, 08-03 Permit App: L4986 Residencebasic # 25B
Citifyof Spokane, Washigfon
job # 129
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 •
Name of Owner Richard RPP.VPS Const. Co- Mr. Address P. n_ RX, 14217 % Phone 92F -307 I
Architect Address % c / Phone
Engineer Address ( Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 2 Blk. 1 Forest Meadow 1st.
Parcel No. None
DESCRIPTION OF WORK: New X
102x176
Size . y of
1
Stori Dimensions 25x47 12x22
Rooms' Baths 2Basement par.
Fu 1, part, none)
Heat. System elec. Type of Roofing
Use of Bldg. single fan. res.
Addition
Remodel
Moving
Sewage System
Foundation Const
shake
Bldg. Zone
septic
1
Total Sq. Ft 2,000
Fire Zone 3
Const. fr ne
(Fr., Conc., Br., etc.)
Valuation 39,000
Concrete Chimney mas. Fireplace 2
(Kind) (Number
Ext. Finish Plywood Int. Wall Finish sheetrock
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.
No. of Units _ Bedrooms 3
m
to
NORTH
RESIDENTIAL — COMMERCIAL
Attached
SOUTH
I hereby gel`tify informationubmitted is
as shown. (/
(° -4
m
a
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
correct and there are no other structures
8/3176
located on this property
except
Owner or Agent Date
A LAS USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ,/ �, ` r rr Sundown Drive
The zone i
Sewage Permit Number Issued Building Permit 4,Receipts. i'7(
'7 asued
Remarks
Form 523 Bldg. Code
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