1977, 05-02 Permit App: M6125 Residence5443
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE el
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. Rater supply must be approved by the County and State Health Departments. There 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 47235.
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 accordancerwitb 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 2/04 'IA 99220 Phone&id-6567'
Architect Address Phone
Engineer Address Phone
Contractor CBC -RC Address P.O. Box 2704 TA 99220 phone 838-6567
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 1, Block 1, Fairacres Replat # 2 Parcel # 09542-1101
11216 East Frederick
LY
DESCRIPTION OF WORK: New XX Addition Remodel
Size o Lot 80 X 150
Stores Dimensions 28 X 34 , 8 X 10
Rooms 5 Baths 1 Basement full
, part, none
Fu Foundation Const
Moving Bldg. Zone _1_ Fire Zone —3
Sewage System septicConst. raIlle
1032' IFr., Conc.,, 00
Total Sq Ft Valuation
4J3 9
concrete Chimney - 2mason replace 2
(Kind) (Number
T1-11 Int. Wall Finish sheetrock
No of Units—Bedrooms 2
Heat. System Fl p FA Type of Roofing, comp Ext, Finish
Use of Bldg. SF residence, deck attached
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 attached plot plan
SOUTH
State License No.
FS: CO N279 B H
Ind. Ins. Acct. No.
RESIDENTIAL.. - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
./n/fl %
I hereb certi� otAisubmit sd is c�o)rrect gnd there are no other structures located on this property except
as shown. --�/% // jam/
r or Agent (� Date a
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
07u , Gb°L,lt f4.4D DO NOT WRITE BELOW THIS LINE
Your street address will bel //. /l ....1.4v x�,(.c.r , ^/The zone is Q�,q.,u,r„it.,Ie- )2
/,4
Sewage Permit Number Issued Building Permit) tFidu - 1.Iab Receipt /749‘, Issued
Remarks
Form 523 Bldg. Code
SD'
1
20• 6 i 011 46/3
zs•
/0'
zinc 3'
15'
t
FREDERICK ANENUL
UE.GOL DESCRIPTION
L.OTaI 13L.00k 1
STREET ADDR.Et6
II/44 e, FIZEOfrztq<
NOTES
PkRCEL* Oas9t- 1101
Q C. CONSTRUCTION
CBC- RC
SO e r 158
?'.7- 7O'
9 V
SC&LE : La'
t. i
OF RIGHT OF WAY ,r