1972, 02-03 Permit App: J1780 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR 1*1W USE OR STRUCTURE PERMIT T -------
GENERAL
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED, A land use or structure permit is required by County Resolution to erect a building or structure of any
Rind 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
ethe 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 Arid 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 IH BELOW THIS LINE
Name of OwnerWilliam M. Reeves —Address2515 S. Pierce Rd. 99206 Phone 928- 1407
Architect_ same Phone_ Engineer Phone
Contractor same Address _ Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 6 Block 3 Timberlan4&
11. 2. - 3 —6,7 c
DESCRIPTION OF WORK:New X _Addition Remodel Moving Bldg.Zone / Fire Zonel '-)
Size of Lot 90 X 190 Sewer
Sewage System Stories 12
Const. Frame Dimensions 54 X 26 + 24 X 26 Total Sq. Ft. 2730 Valuation 36,000
(Frame,concrete,brick,etc.)
Rooms 5 Baths 2 Basement Fill Foundation Const. Concretechimney 1�s Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System F•A.Gas Type of Roofing Shake Ext. Finish Cedar Int. Wall Finish Wallbd
Use of Bldg. Single family residence _ No. of Units 1 Bedrooms 3
Garage or Carport Attached Garage attached Private Detatched
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.
NORTH State Lic
nse No.
Ind. Ins. Acct. No.
ATT, REQUIRED/ • J,
• Plumbing Permit
' `� ` �
m m Heating Permit
to
Sewage Permit
1 -I An
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
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Your street address will be -.12 - r,z. J'-L-�=`�^ -'1--c-,
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The zone is-
Sewage Permit Number Issued /
Building Permit , r, l;eceipt F�a/fg_ ued
Remarks fr
i
Form 523 Bldg. Code
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