1971, 02-10 Permit App: I3434 ResidenceCounty of Spokane. WUShington
COURTHOUSE, SPOKANE, WASHINGTON 49201
BUILDING CODES DEPARTMENT,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE----
PERMIT
EE----
kindlTrEqtlistructure
tprscby county
Resolution
to erbuilding -- structure of
----t--h
e
koalter any building orstrucurealeadyereted, ortohangealand use. Constructionmnst conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
+iheEsurface, shoulderssorbditchesvof County Roads, permissionandState ealth must bepobtained fromrtheoCountyater Engineer'stofficeisturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET-BACKFROMegnPEYIESzones and
unmostder
sbcfrerhoaproperty
line, of at
rayardrerequired
le'is required, a5side yard, 15, yard from flankingstreet,anda25R
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 e
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 bo Obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. the land
RESTRICTIVE nPOOVEN blS. Builders shhrough ould check
he kCprovisionounty s of covenants or deringdactionntosenfond rcemcovenanents tslor dedng ications.
which are
APPLICANT FILL IN BELOW THIS LINE
E10919 23rd Phone 928-1!407
W.M. E. Reeves Address R
Name qf Owner SPhone
Same Phone Eagineer
Architect Phone_
Contractor Same Address
Legal Description of Property (Give complete description from deed,
Lots 2
1
tax receipt, etc.)
X Addition Remodel Moving Bldg. Zone Fire Zone
13
DESCRIPTION OF WORK: New $ tic Stories 1 1
Size of Lot 100 X 130 Sewage System e P
Const. Frame Dimensions 54X30 022 X 24 Total Sq. Ft. 286$ Valuation 31,000
(Frame, concrete, brick, etc.) Full
Concrete Chimney Brick Fireplace
Rooms_ r Baths 2 Basement Foundation Const. (Kind) (Number)
(Full, part, none)
Heat. System
F• A• Ga s TYP e of Roofing COMD. Ext. Finish Cedar Int. Wall Finish W. Bd.
Use of Bldg. Res. Kyo j No. of Units 1 Bedrooms
Garage or Carport Attached Att• 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 suVOY lines, State License No.
Attatched
i
rn
N
-1
NORTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
to
Sewage Permit
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. � ® �►�'� �}�1�-� .2 1 i - I I
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
o . — DO NOT _ WARE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
ilding Permit
The zone i
Receipt3 00I ssued
QJ �
WA
900) GLAL niNk
HOUSE To e
k-4eUATFL) SCO i
ThA 7-
Xo
F 1560
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