1978, 06-05 Permit App: M6598 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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
i 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. ;
R 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-RAddress P.O. Box 2704 TA Spokane Ph.. 838-6567
Architect Address Phone
Engineer Address Phone
Contractor CBC -RC Address P-0. Box 2704 TA Spokane Phone 838-6567
Legal Description of Property (Give complete descrip ' from sed, tax receipt, etc.) Parcel Number 092-1206
Lot 6. Block 2 Fairacres =911e 1;:�
4/ CIL) = 1 U
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 851 X 1501 Sewage System Sept i c tankConst Frame
�Fr., Conc., Br., tc.
Stories Dimensions 26 X 40 Total Sq. Ft, 10=10 Valuation - - s35a
Rooms _7 Baths.. fu I 1 Foundation Const.. concrete Chimney 2 Fireplac2
-7-511, part, none (Kind) e (Number
Heat. System Elec. FA Type of Roofing Come• Ext. Finish TI -11 Int. Wall Finish Sheetrock
Use of Bldg. Residence No. of Units _..Bedrooms
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water suDDly lines.
NORTH
See plot attached
SOUTH
State License No.
RCCON279BH
Ind. Ins. Acct. No.
Z:;--
CRESIDENT14 COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I heVeby ,ceerrttifX_information submmii ted is�%orree t and there are no other
�structures located this property except
as shown. ✓Y /�(.l' � fl / /�! �° y ,,.1% b J` 7F
ner or Agent~� Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH045 NOT A PERMIT.
r �v DO NOT WRITE BELOW THIS LINE
, street address will be The zone is
(P Sewage Permit Number Iasned Building Permit Receipt o�3o Issued
Remarks
Form 523 Bldg. Code
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