1978, 02-06 Permit App: M4793 Renewal of M1238i
Job #118
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.
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 e
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 Sta e
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. Box 14217 Spokane Phone 924-5689
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
24542' 2-- —4CC
Same
Leal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 9 Blk 19. Early Dawn 2nd
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zope 1 Fire Zone 3
Size of fot, �j x48X1 8 X 5 Sewage System septic Const frame
p 4 x � 24 1 Q (Fr., Conc.11-137;
, ��GG,,
Stories Dimensi s '+ Total Sq. Ft 7 4 Valuation 4 ; tvk' 00
�' full con. mas. 2
Rooms Baths Basement Foundation Const
Chimney Fireplace
Full, part, none) (Kind) (Number
Heat. System FA Elec. Type of Roofing Comp Ext. Finish p1 ywood Int. Wall Finish drywe1 1
Use of Bldg. Sing. f am. res. No. of Units 1 Bedrooms 3
PLOT
sZ
PLAN
Draw sketch with dimensions showing: (1) property lines; (2)
proposed buildings; (4) distance to property lines and street;
tem and water supply lines.
NORTH
street or road locations; (3) location of existing and
imensions of buildings; (6) location of sewage sys-
COMMERCIAL
attached
V w
ereby certify informatio
as shown.
SOUTH
itted is
Owner or Agent
State License No.
223-01-rr-co-n-247c
Ind. Ins. Acct. No.
375-464-00-5
REQUIRED
Plumbing Permit
n+ Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
f
correct and there are no other structures located on this property except
Feb. 6, 1978
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
Your street address will be
Sewage Permit Number Issued
Remarks
S 1912 Calvin Road ' fit7CPezoneis sing. faun. res.
Building Permit " Receipt /.0 J, Issued
Rcvo p/-tc/
Form 523 Bldg. Code
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