1978, 02-17 Permit App: M4980 ResidenceCo.gnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 2 lie)
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 R.C. Construction Address P.O. Box 2704 T.A.Spokane
Architect Address
', Engineer Address
Contractor R.C. Construction Address P 0 Box 2704 T A Spokane
I, Legal Description of Property (Give complete description from deed, tax receipt etc.)
Lot 2, Block 1, Fairacres Replat d&2 Parcel dk
ri
L 72 -?-v
09542-1102
Phone
Phone
Phone
Phone
838-6567'
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 80 X 150
Stories—Dimensions 26' X LQ'
Rooms —� Baths BasementFoundation Const
Full, part, nonifilln
Heat. System FAE Type of Roofing CUT
Use of Bldg. SF residence
Moving `- Bldg. Zone / Fire Zone 3
Sewage System septic tank onst. Prairie
(Fr., Conc., Br., etc.)
Total Sq. Ft.1040 valuation 42.500.00
n
Mtn Chimney Fireplace G
(Kind) (Number
Ext. Finish T1-11 Int Wall Finish .Sheetrock
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.
i
NORTH RESIDENTIAL — COMMERCIAL
See attached plot
SOUTH
ereby certify information submi
tted is correct and there are no
- as shSh.
Owner or Agen
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
State License No.
RC CON279B11
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
HSewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located, on this property except
DO NOT WRITE BELOW THIS LINE
7r -
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
The -zone is
Receipt
Issued
Form 523 Bldg. Code
.4 .
o'
32' 6' 6'
32'
25!
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•
-4.
1 z D.AVt(IUE;
LEG S DESCR.I PT ION
Lo -r it 2 BLOCK.
STREET ADDP.E.ES
1111.4 E. FRE PER MK
NOT EI5
PARCEL #$ 09542.- I t o9,.
R.C. CONSTPUCT
CBC -RC
3Ob 459
Lc -ALE'
P
04_ RIGHT DE WAY ., _ . .i