1977, 04-18 Permit App: M0729 Residence l - .ty of Spokane, Wm. ,ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 59_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 in'ress
and egress.
G
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work muo 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.
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i 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 q 2 ( tc
Name of Owner Richard Reeves Address P.O. bOX 14217 Phone 924.5689
Architect Address j Phone
Engineer Address !�'�� r Phone
Contractor same Address Phone -•
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot lo Blk 18 Early Dawn 2nd Add.. 6 .- z s '/
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lotk ie4A X130 Sewage System septic �F?nstC.o �etc.1
Storie446 Dimensios 47x21, �,2T?22 Total Sq. Ft. 2520 Valuation 44.500
2 n
Rooms Baths Basement U Foundation Const. concrete Chimney fab Fireplace 2
(Full, part, none) (Kind) (Number
Heat. Systenblec fur Type of Roofin Camp Ext. Finish plywood Int. Wall Finish 1'"7Well
Use of Bldg. sing Tam res/ ��.�� . No. of Units a 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 RESIDENTIAL -COMMERCIAL State License No.
223-01ri-eh-ar-c245cf
Ind. Ins. Acct. No.
. j Attached3?5-464-00-5
REQUIRED
Plumbing Permit
un Heating Permit
m
N N Sewage Permit
-4 -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
N SOUTH
I hereby certify rmation sub. • ., is correct and there are no other structures located on this property except
as shown. .— ice\ 4/18/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
'L DO NOT WRITE BELOW THIS LINE (� ,
Your street address will be / (�/ & / q.-a? FE�he zone is "�
Sewage Permit Number Issued Building Permit 1 Receipt '. Issued
Remarks .
I
L
Form 523 Bldg. Code
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