1977, 03-24 Permit App: M0085 Residence Com/ of Spokane, Wash` igfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 51.50
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 confncm 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 dis•
turbs
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. AddressHt• 2, Box 452 Post Falls, 'atone 773-4281
Architect Industrial Drafting Address►. 9510 First Phone 928-7755
Engineer Landmark Surveyors Address Liberty Lake, Wash. Phone 255-6159
Contractor Hobert Pielaet AddressRt , Pos • : : •hone 773-4281
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 0/ /./../
Lot 14, Block 1 Ridgemont Estates Spokane, Washington
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
93 x 177 sewer frame
Size of Lot Sewage System onw
)
28x50 w/ 22x22 garage & 10x21 deck 2052 Val, tion 5r•0200.00
Stories _Dimensions Total Sq. Ft. 5
Valuation
concrete
Rooms Baths 2 Basement dull Foundation Const. Chimney
sOnFireplace 2
(Full, part, noneT` (Kind) (Number
Heat. System FAT+: Type of RoofingCedar Shake Ext. Finish Simpson 316 drywall
Y Int. Wall Finish
Use of Bldg. family rjwellirg, resir.Pnntial i AU-a No. of Units 1 Bedrooms 3
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 License No.
223—01-8698
Ind, Ins. Acct. No.
2316-00-036761
Ins. of Wausau
REQUIRED
Plumbing Permit Gold Seal
See back of page Heating Permit A I M Heating
m
N H Sewage Permit
Plans Received
Plans Checked
•
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ,-rti inf• coati. subs• ••d is orrect a'd there are no other structures located on this property except
as shown. / /
/ March of s, 1977
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMM:
THIS IS ftGTAPERMIT.
DO NOT WRITE BELLOW, THIS LINE ,�i�
Your street address will be j o2 / Yom' �--{�w��f ' „The zone isc�,'//` - / '1
Sewage Permit Number Issued Building Permit/y/44_ Receipt 4-7/Y 3 Issued
Remarks
Form 523 Bldg. Code
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