1974, 12-09 Permit App: K6473 Residencewv
No. 373
County of Spokane; Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS • PERMIT FEE 43.00
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 most conform wltb 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 mast 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 an street right-of-way may not be performed until staked by County Road Department and work must be
perfo),med in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
HOVIIIG OF BUILDINGS. A permit is required to move an existing building. When a building Is moved on a County or State l,_
Highkay, clearance must be obtained from the County Engineer and/or State Highway Department. S/
ACLtRSS0RY 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 Ownor1J M REFVFS & ASSOC INC Address SOX 8 36 Manito Sta Phone 747-4172
Architect Same Address 99203 Phone
Engineer same Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc ) -
L 3 B 3 Myron Estates No. 2 Parcel No. 04442-0303
DESCRIPTION OF WORK; New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage system Septic':
Size of Lot 100 X 180
Stories.' 3 Dimensions52 X 26 + 2 X 25
Rooms 5 Baths2 Basement pull Foundation Const cOnc Chimney Inas Fireplace 2
—(FFull. part, non eT - (Kind) (Number
Heat. System F.A.G. Type of Roofing Comp Ext Finish Plywood
-Int Wall Finish Sheet roc
Use of Bldg. S.F.R.
ponst Flame
(Fr., Conc., Br., etc.)
Total Sq Ft 2078 valuation 37. 500
No of Unite' 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
ATTACHED
SOUTH
State License No.
223-01-15374
Ind. Ins. Acct. No.
234,734
REQUIRED
Plumbing Permit
Heating Permit
401 Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as show
tt7.M.REEVES AND ASSOCIATES INC.,By cw fl7 /12.12.—e—¢Q 1,2
Owner or Agent Date /-
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH1515 NOT A PERMIT.
Ate 121,4
Your street address will be
Sewage Permit Number Issued ilding _rmi
DO NOT WRITE BELOW THIS LINE
E 11204 — 44th
Remarks . ——
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Form 523 Bldg. Code
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