1978, 06-05 Permit App: M6565 Residence1111
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__�.J"
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 ILL IN BELOW THIS LINE
Name of Owner CBC-RC5iLet-4.4.,..warcA.ce Address P.O. Box 2704 T.A. Spokane Phone 838-6567
Architect Address a0 Phone
Engineer Address / Phone
Contractor CBC -RC Address P.O. Box 2704 T.A. Spokane phone 818-.6567
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 09542-111'
Lot/5. Block 1 Fairacres
DESCRIPTION OF WORK: New X
Addition
Size of Lot 80' x 150'
StoriesS/E Dimensions 28' x 341, 8' x 10'
Rooms 5 Baths_,—,1 Basement fu 1 1 Foundation Const
Ful, part, none)
Heat. System Elec. FA Type of Roofing Cp •
Use of Bldg. d Om
Remodel Moving
Sewage System
concrete
Total Sq
Ext. Finish
T1-11
Bldg. Zone Fire Zone 3
Sept i c tank Const. Frame
(Fr.. Conc.,r a c.0
. Ft 1032 Valuation 43�,
Chimney 2 Fireplace 2
(Kind) (Number
Int. Wall Finish Sheetrock
Residence, eck attached
No. of Units _Bedrooms 2
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 at:d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
See plot attached
I hereby
as shown'
certifz information
er or Ag nt
SOUTH
quitted is correct and
State License No.
RC CO N 279 B H
Ind. Ins. Acct. No.
RESIDENTIAL
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
us
N Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7/ ek
there are no other structures locate on t is property except
Date
s 7/K
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
/13/y9a J
Issued
Building Permit
f
The zone IA NA C,4/
Recei O Issued
P I u
Form 523 Bldg. Code
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STREET /�DDt2r._Z: •
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N OTES :
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P.C. CONSTRUCTION
CBC- RC.
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SCALE: 1 = ZD'
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