1975, 07-11 Permit App: L0802 Residence411 JOB #395
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.._150000
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 1s 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 47235.
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 reQulred.
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 can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE ,44,(ju 99,20rs
Name of Owner W M REEVES & ASSOCIATES, INOledress East 9512 First Avenue Phone 928-39111+
Architect Same Address Phone
Engineer Same Address Phone
Contractor Sante Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc )
Lot 5, B1k 2, Myron Estates No. 2
Parcel No. 0111142-0205
DESCRIPTION OF WORK: New __X_ Addition
Size of Lot 90 x 130
StoriestLDimensions 47 x 24 + 14 x 22
Remodel
Moving Bldg. Zone1 Fire Zone 3
Sewage System reitti r p nst. Frame(Fr., Conc., Br.. etc.)
Total Sq Ft. 2,000 Valuation 37 -000
crate Ch'mney( a� Fireplace(Number2
sh plywood Int Wall Finish Sheet Rock
No of Units Bedrooms 3
Rooms .5___ BathsBasement Foundation Const
Fu I, part. none
Heat. System F A G Type of Roofing Comp
Use of Bldg. Single Family Residence
Con
Ext Fini
,R7tdcRY,�-w`
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.
-1
r
NORTH
Attached
SOUTH
State License No.
233-01-15374
Ind. Ins. Acct. Na.
2341734
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed r
I hereby.certify information submitted is correct and ther e no other structures located on this property except
as shown. ,(')
Wt N RFFUFS R. ASS()CTATFS INC_ RV- �I�O�—F 2 }O --N-. Jul y 11, 1975
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOTqA PERMIT.
i4Mt 7t(/z�p,( DO NOT/ WRITEgBELOW THIS LINE
Your street address will be / � 3 2Q e, y'4.24 y n
Sewage Permit Nunbet The zone imeLe ssu ^�r�t A(1.C-
Issued Building Perml Recefptfig i t Issued
Remarks
1
Form 323 Bldg. Code
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