1978, 05-02 Permit App: M6182 ResidenceJ.1"'
•
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 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
Name of Owner CBC -RC Address P.O. Box 2704 TA 99220Phone 838-6567
Architect Address Phone
Engineer Address Phone
Contractor CBC -RC Address PM n Box 7704 TA 99270 phone 838-6%7
5q_
Legal Description of Property
Lot 16. Block 1.
(Give complete description from deed, tax receipt, etc.) Parcel Number
Fairacres Replat #2 Parcel # 09542-1116
11313 E
st Fairview
b-72'
DESCRIPTION F ORK: New XX Addition Remodel
Size of Lot 80' X 150'
Stories 1 Dimensions 26' X 40'
Rooms 7 Baths--MIT2 Basement full
I, part, none)
Heat. System Elec. FA Type of Roofing cofilp_
Use of Bldg. SF residence
Moving
Sewage System
Foundation Const
concrete
Total Sq
Ext. Finish T1-11
Bldg. Zone Fire Zone 3
SPpri const. TX'
(F -T
r., Conc., Br., etc.)
. Ft 1040 Valuation $45,250
ChimneirlaSOMY Fireplace 2
(Kind) (Number
Int. Wall Finish Gh1Pel-rCX'k
No. of Units Bedrooms 3
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.
m
to
NORTH
See plot plan attached
State License No.
RC CO N279 B H
Ind. Ins. Acct. No.
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
hereby ertify informatio submitted is correct and there are no other structures located on this property except
as shdh�a. r
_ A-4 C �.� �% s/z/-7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
('9 DO NOT WRITE BELOW THIS LINE
Your street address will be _(-(1, /1:343 ..9:1.4,4-0-W-4/—
Sewage Permit Number Issued Building Permit
Resorts
s
The zone is aq,,t`�"`"' [.c.Ci'
" site. ;
,/'<} -Receipt/70 , Issued
Form 523 Bldg. Code
h
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LOT # /Ce BLOCK
STREET ADI P-JLE3
U113 E. FAIRVIEW
6 G __..,i,__4.1,
13', NOTE'S
1 i i ?PiAcEL#fir 06154Z- 111to
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CBC -RC
JOB' Aito
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