1978, 06-05 Permit App: M 6599 Residence• 016
County 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
CBC-RC(Ntu.4t4 L a(.CP' AddressP.O. Box 2704 TA Spokane Phone
Name of Owner
Architect
Address Phone
838-6567
Engineer Address Phone
Contractor CBC -RC AddressP-O- Box 2704 TA Spokane Phone 838-6567
09542-1114
Legal Description of Property (Give com tete description from deed, tax receipt, etc.)
Lot 14, Block 1 RFo.pT'Q
Parcel Number
DESCRIPTION OF WORK: New X
Size of Lot 80' X 150'
Addition Remodel
Moving
Sept ic tan Frame
Sewage System p onst.
Fr., Con 44r.9Atg.)
Valuation U
concreteChimney 2 Fireplace 2
(Kind) (Number
Int. Wall Finish Sheet rock
Residence, deck attached No. of Units Bedrooms 2
Stories SSE Dimensions 28/ x 341, 8' x 10'
Rooms 5 Baths 1 Basement fu11 Foundation
Fu 1, part, none)
Heat. System Elec. FA Type of Roofing Comp •
Use of Bldg.
Const
Ext.
Bldg. Zone — Fire Zone
Total Sq. Ft.
1032
Finish T1-11
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH
See plot attached
SOUTH
I heresy certify ,infor tion subm ed is co
as shown.
rect and there are
m
1I
State License No.
RC CO N 279 B H
Ind. Ins. Acct. No.
RESIDENTIA
- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
.V2 7/7 ? 9 -'—
no other structures located on this property except
er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS NS NOT A PERMIT.
7
DO NOT WRITE BELOW THIS LINE
Tdiir street address will be
/13x3 cS
Sewage Permit Number Issued Building Permit)
Remarks
The zone is
Receiptc23O Issued
Form 523 Bldg. Code
32'
/0'
34.
s
/4'
•
M
•
LoP: ON
LOT 14 3LJ C.rc
-T/ DP
E
1132-3 E, rximviEW
NOTE -5
'A1?ZE L 1:t-oq51.1 2.-1 11 4
R . C. CON 3TkU ToN
Jog' 1641
Fts1RVIEW AVENUE
OF
1216.14T of WAY
4