1978, 06-05 Permit App: M6626 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 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 CBC-RClc ,ct e_e 1) Address P.O. Box 2704 TA Spokane phone 838-6567
Architect Address Phone
Engineer Address Phone
Contractor CBC -RC Address P.O. Box 2704 TA Spokane phone 838-6567
Legal Description of Property (Give complete descripti9. from deed, tax receipt, etc.) Parcel Number
Lot 5. B1ock 2 Fairacres
09542-1205
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot $51 x 150
Stories$1.E_Dimensions 281 X 341. 81 X
Rooms _5._ BathsBasement f u 1 1
(Full. part, none)
Heat. System Elec. FA Type of Roofing Comp• Ext.
of Bldg. Residence , deck attached
Moving Bldg. Zone / Fire Zone 3
sewage system Sept i c tanitonst. Frame
10'Total Sq. Ft
Int. Wall Finish 1 032 Valuation
43
Const concrete Chimney 2 Fireplace rr2
(Kind) SheetroCKber
No. of Units Bedrooms
Fr., Conc., B .,§5d tc 1
Foundation
Finish T1-11
Z
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-
tem and water supply lines.
NORTH
See plot attached
SOUTH
State License No.
RC CO N 279 B H
Ind. Ins. Acct. No.
RESIDENT! COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
02P 7/7
I hereby certify information submitted is correct and there are no other structures located his property except
as shown.
Owner or Agent
c - T` - 7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T IS NOT A PERMIT.
i ur street address will be
✓ Y.1 Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
(/ 3c • E Y• G�Zii'f.4../a'.l.)
-r The zone is
Issued Building Permit f Receipt .2 30-6
f
`Issued
Form 523 Bldg. Code
85'
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LEGAL bEsCRIP""f ION:
LOT a 5 , BLOCK 2
sTQEE.T' ADGI.E,SS;
11322 EAST F/11PYIEW
NOTES
R:
C. CO NSTRUCToN
CBC -RC
JoB *r 444
1 - .20