1978, 01-09 Permit App: M4550 ResidenceNT'V
Its
Clnty of Spokane. Was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
Job #116
Basic # 14
APPLICATION FOR LAND USE OR STRUCTURE PERMIT V0
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 tilt
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. I
WATER. Water supply must be approved by the County and State Health Departments. Where work 011 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
Name of Owner R & R Const. Co. Address P.O. Rox 14 17 Spnkane Phone
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
33-25-44
924-5689
Legal Description of Property (Give complete description from deed. tax receipt etc 1
Pnr_
Lot 21 Blk. 2 Midilome Add.
DESCRIPTION OF WORK: New X Addition Moving
83.50 x 150
Remodel
Si
ize of Lot •
split Sewage System
Dimensions
Stories Total Sq
46x26 -t-
entry o2 2 X a (' * to X 12
2 full garage undcrconc.
Rooms Baths Basement Foundation
Foundation Const
, n—
(Fpart, no
Heat. System F. A. lee -Fyne of Roofing comp
Use of Bldg. sing. -Tam. res.
Bldg. Zone Fire Zone 3
sewer Cons frame
%Qg{{ (Fr., Conc., Br., etc.)
Ft Valuation 48.000.00
Chimney IDas• Fireplace drywall2p¢er
(Kind)
Int Wall Finish
No of Units 1 Bedrooms 3
Ext Finish _plywood
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-
em and water supply lines.
NORTH
— COMMERCIAL
Attached
SOUTH
I h y certify igYarwption submitted is correct
as sh
Owner or Agent
and there are
m
D
y
State License No.
223 -01 -RR -C0 -N -247C
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
F
no other structures located on this property except
Jan. 9, 1978
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT A PERMIT.
Atm l( r/
i 6 DO NOT WRITE BELOW THIS LINE
hour street address w111 be S. 352apates V Cr°'I'pe zone is sing, fam. res.
Sewage Permit Number Issued Building Permit Receipt ii 7 py Issued
Remarks
Form 523 Bldg. Code