1977, 08-25 Permit App: M3011 ResidenceBasic # 12B
.sob # 110, Ctanty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 39800
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of anyay
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
Name of OwnerR & R Const. Co. AddressP•0• Box 1423.7 Phone 924-5689
Architect AddressRplailtjlP,. Was 99214 Phone
Engineer Address Phone
Contractor QFITBP Address Phone
Legal Description of Property. (Give complete description from deed, tax receipt etc 1
Lot 6 B1k. 22 Early Dawn 2nd Addition Por. of 26-25-44
DESCRIPTION OF WORK: New 1 Addition
Size of Lot 100x130
Remodel
Stories dimensions 24x47 12x22
Rooms . Baths 2Basement full
Full, part, none'
Elec. F/Aype of Roofing
Single Fam. Res.
Heat. System
Use of Bldg.
Foundation Const
Comp Ext Finish
Basement Garage
Moving Bldg. Zone Fire Zone 3
Sewage Systemseptic onst.frame
(Fr., Conc., Br., etc.)
Total Sq Ft 2520 valuation 4' .950.00
concrete
Chimney
(Kind)
plywood Int Wall Finish
No of Units
Fireplace 2
(Number
drywall
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; (S) location of sewage sys-
temgtit.' ater supply lines.
/IDNTIAL COMMERCIAL
NORTH
attached
I hereby
as shown.
SOUTH
w
N
y
State License No.
223-olri-ch-ar-c245c
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
ubmitted is correct and there are no other structures located on this property except)
Aug. 25. 1977
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,Fy A DO NOT WRITE BELOW THIS LINE
Your street address dill be S. 1704 Early Dawn Dr.
Sewage Permit Number Issued Building Permit
Remarks
The zone i�sf
Receipt 4/14.4.?.%,4 Is
ued
Form 523 Bldg. Code
1/45 /7011 ARL.V 12,41,4/Ar
,roe v:4 //4
rs' • ' • • "
/ = 20