1978, 02-17 Permit App: M4981 Residence410
Cady of Spokane, Washngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._ 3-2
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 FILL IN BELOW THIS LINE
r Name of Owner R.: e;. Construction AddressP.O. Box 2704 T.A. Spokane
i. Architect Address
Engineer Address
• Contractor R_ C C.nnstrltrti on Address P 0 Box 2704 T.A. 9pxbkanP Phone 838-6567
qp z 2—c1
Phone
Phone
Phone
838-6567
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Tnt 18, R1 (Irk 1, Faira'res RPp1at #2 Parcel # 09542-1118
X
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 80' X 150'
Stories _LDimensions 28' X 34'..1 8' X 10',
Rooms __ Baths Basement full
Fu I. part, none)
Heat. System
Use of Bldg.
FAE Type of Roofing
SF residence
Moving Bldg. Zone / Fire Zone 3
Sewage Systemseptic tank oust. Fran
Conc. Br., etc.)
Total Sq. Ft 1032 Valuation (+2,500
Chimney 2 Fireplace 2
(Kind) (Number
Int. Wall Finish ShPPrrOek
No. of Units_ Bedrooms 2
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
See attached plot
NORTH
concrete
Ext. Finish T1-11
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL — COMMERCIAL
ereby certify informati
as
State License No.
RC CO N 279 B H
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
submitted is correct and there are no other structures located on this
Owner or Age
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
property except
Date
CONSTRUCTION COMMENCES.
Building Permit
The zone is
Receipt
Issued
Form 523 Bldg. Code
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