1978, 02-06 Permit App: M4795 ResidenceJob # 119
Coanty of Spokane, Wask1dgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .S_6.00
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 mast 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 lani..
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 Owner R&R Const. Co. Address P.O. Box 14217 Etiokane 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.) 24. _4 2— — ZX?'..8.
Lot 8 Blk. 18 Early Dawn 2nd
DESCRIPTION QFO Qf 0New x Addition Remodel
Size of Lot �j
split entr 8 6a �x4IdIOx12 deck
Stories Dimensions
Rooms 6 Baths 2 Basement full Foundation Const COf1C.
(Full, part, none)
Heat. SystemF' A KElec Type of Roofing comp.
Use of BI .g sing fam. res.
Moving
Sewage System Gonst.
2 OO 1Fr., Concg .
Total Sq. Ft 4 mas Valuation ai
2
Chimney (Kind) Fireplace
Int. Wall Finish 3
1 3
Wrc Fire fA�
(Number
drywall
No. of Units _ Bedrooms oa)
Ext. Finish plywood
PLOT PLAN
aw 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. ,— \
m
N
NORTH
RESIDENTIAL -- .COMMERCIAL
Attached
SOUTH
State License No.
223- 01- rr- co- n -247c
f
Ind. Ins. Acct. No.
375- 464 -00 -5
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cer.t.4fy inform. • ' n ubmitted is correct and there are no other structures located on this property except
��-- �71�e� Feb. 6_1 1978
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE ii )"
as shown.
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
S, 1915 Bannen Road
The zone is
sin• fam. res.
Receipt ? Issued
poAn l-c)/u/ 5�
Form 523 Bldg. Code
Y pry am,/ '2
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kis
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