1975, 07-11 Permit App: L0801 Residence1111 40
JOB #394
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 46.00
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.
NATER. 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
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 a orce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE �Gr��.ty�d�
Name of OwnerW_M. REEVES & ASSOCIATES, INC. Address E. 9512 First Avenue Phone 928-3944
Architect Sema Address Phone
Engineer SamP Address Phone
Contractor SPJtIP Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc
Lot 24, Bik 2, Myron Estates No. 2, 1st Addn
Parcel No. 04442-0517
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 87.5 x 130 Sewage System Septic onst. Frame
(Fr., Conc., Br., etc.)
Stories L_Dimensions ?FSx 211. Total Sq, Ft 1772 Valuation 38,0
00
Rooms _ Baths 2 Basement F ull Foundation Const Concrete Chimney Mas) Fireplace(Number2
(Full, art, none
Heat. System F A G Type of Roofing Comp Ext. Finish PlywoodInt. Wall Finish Sheet Rock
Use of Bldg. Single Family Residence 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
Attached
State License No.
233-01-15374 .
Ind. Ins. Acct. No.
234,734
REQUIRED
Plumbing Permit
nr Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1
SOUTH
1 hereby certify information submitted is c rrect and the e are no other structures located on this property except
as shown.
W- M_ REEVES & ARSOGIATr1S, TNC. By: 002-4
July 11, 1975
Owner or Agent Date 1
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. d
THIS IS NOT A PERMIT.
(9G 71114-0_
Your street address will be //A/0V e__"5 A e__ The zone is_5 � Q/JrL IZ�
Sewage Permit Number Issued Building Permit • 0 3:1 Receipt 9/11-/ Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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