1978, 05-02 Permit Application: M6117 Residence w/Garagew
County of Spokane, Washington
JOB # 123
BASIC # 12 B
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
✓ -
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Y
GENERAL REQUIREMENTS
PERMIT FEE
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 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 , '-42,4e,,ii._ .14:7Q.--/
Name of Owner R&R Const. Address P0. BX. 14217 Phone 924 -5689
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc ) parcel # 264 42- 2912
Lot 1? Blk. 18 Early Dawn 2nd
R/W w //D T,d — d'
3
DESCRIPTION OF WORK: New X Addition _ Remodel Moving Bldg. Zone . 1 Fire f one rain e
Size of Lot 91X130 septic
Sewage System Const.
(Fr., Conc., Br. e
Stories Dimentry n garage under 2 x 22x24x2x24 1704 4� CIO
4 47 Total Sq. Ft may Valuation !
Rooms 6 Baths 2 Basement full Foundation Const. 60n� Chimney Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System Type of Roofing • Ext. Finish ply. Int. Wall Finish drywall
rd -elec. 3
Use of Bldg. g rte- �.; ! No. of Units Bedrooms
sin fam. res. i
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. -
Jel..e.1:. %fiSEGLtJL�
m
NORTH
attached
I hey; cert • y in -•
as shown.
State License No.
rr -c; -h 247E f
Ind. Ins. Acct. No.
375 - 464 -00 •5
REQUIRED
Plumbing Permit
rn Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
rmatiin submitted is correct and there are no other structures located on this property except
5/2/78
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
14f
Your street address will be The zone is k��- E'_�J7,�,L�,•t<.- �rL/
1908 Air Park
Sewage Permit Number Issued SO Building Permit II. (,'j`TJ Receipt / ,q. Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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