1976, 03-22 Permit App: L3021 Residence Job # 117
Basic # 25B ,
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
peIf`grmed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVPNG OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or ytate�
Hi hway, clearance must be obtained from the County Engineer and/or State Highway Department.
AG6ESSORY 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 owngiehard Reeves Const. Co. Ivagiess P.O. Box 1 421 7 Phone 92A-3076
Architect Address Phone
Engineer Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
T,nt R Rlk. 3 Ratchford Acre Treats
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 165 x 300 Sewage System septic Const. am
ri Leval (Fr., Conc.,$r.,etc.)
Stories Dimensions 25x47 12x22 Total Sq. Ft.2000 Valuation 39,000.00
Rooms 6 Baths 2 Basement u Foundation Const.CtOnr=ret'.e Chimney Fireplace 2
elect /2(Fulart, none ind) (Number
Heat. System Type of Roofing comp Ext. Finish Plywood Int. Wall Finish drywall
Use of Bldg. single Fam. res. No. of Units -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 ,e�,�: State License No.
ri—ch—ar—c2450f
Ind. Ins. Acct. No.
attached .232-2h7
REQUIRED
Plumbing Permit 1 cJ '1.3 r
n+ Heating Permit
m a
to N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informat'-. bmitted is correct • '• there are no other structures located on this property except
as shown. 40111 ✓ ` - - 3/22/76
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-17ytai k DONOT WRITE BELOW THIS LINE
Your street address will be E/5-8-14/ 14th Ave. The zone is
Sewage Permit Number Issued Building PermiReceipt{1 C Issued
h marks ( , '
Form 523 Bldg. Code
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