1973, 02-26 Permit App: K630 Residence _ ___ __ ,
. County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT of
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
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-RACK 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner f.1 . Reeves n Associates, IncAddress 9510 1st Ave. (9x206) Phone 92F-'3666
Arch tett SatrB Phone Engineer Phone
sa the Phone
Contractor Address_
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
G 5 4-/-`/ _ 6 ° Lot 3, 3l?: 2, Ponderosa Acres, 5th Add. ..5i f II V
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone 1 Fire Zone 3
Size of Lot 185 X 300 Sewage System "lPpt i c Stories 1
Const. frame Dimensions 28 X 67 t 3 X Total Sq. Ft. 2'670 Valuation 32,950
(Frame,concrete,brick,etc.)
Rooms 6 Baths 2 Basement i'UlJFoundation Const. concrete Chimney ma s Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System F A CT Type of Roofing Comp. Ext. Finish T-III Int. Wall Finish r'Ct- rk.
Use of Bldg. single family residence No. of Units 1 Bedrooms ?
Garage or Carport Attached r7araze - attached
Private Detatched
ed , 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. State License No.
NORTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
attached in Heating Permit
m
(AD Sewage Permit
♦ -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is corre and there are no other structures located on this property except
ashown.
"t/t-..) • Ciele\ , P..„SLCL...,j'--Q..<L_______1-"—Li Fe'o--iarv- 26, 1072 _
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
Your street address will be r7 0 ' -ti .e zone is _ r '1"1
Sewage Permit Number _ Issued Building Permit ,._Receipt 6.32.1— Issued
Remarks ..
•
- --7 \
Form 523 Bldg. Code
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