1978, 06-05 Permit App: M6627 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /'il
GENERAL REQUIREMENTS PERMIT FEE tid
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
Architect
Engineer
Contractor
CBC—Rty rr,2.n.t t,r,%ace
CBC -RC
Legal Description of Property (Give complete descriptio
Lot 5, Block 1 Fairacres
AddressP • 0•
Box 2704 TA Spokane
Phone 838-6567
Address Phone
Address Phone
AddressP•°. Box 2704 TA Spokane Phone 838-6567
09542-1105
om
deed, ax receipt, etc.)
Parcel Number
•
DESCRIPTION OF WORK: New X
Size of Lot
808 x 150'
Addition
Remodel
Moving Bldg. Zone / Fire Zone . 3
Sewage System Sept i c tank CConst. Frame
IFr.. Conc.
Stories SLE Dimensions 28' x 34t', 8' x 10' Total Sq Ft 1032 valuation ���+°
eetrOCk
Rooms 5 Baths Basement ful 1 Foundation Const concrete Chimney 2 Fireplace 2
Ful, part, none T1-11
_ _ Int Wall Finish _ (Kind) _. (Number
Elec. FA Type of Roofing Corp.
Residence, deck attached No of Units _Bedrooms 2
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
em and water supply lines.
NORTH
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-
See plot attached
I he eby
as shown.
SOUTH
bmdtted Is co. ect and
State License No.
RC C0 N 279 B H
Ind. Ina. Acct. No.
CRESIDENT19W— COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
in Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures locatQd on this property except
Owner or Agent Date
A ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
T IS NOT A PERMIT.
io --four street address w111 be
7
DO NOT WRITE BELOW THIS LINE
//.3/G g L &t
Sewage Permit Number Issued
Remarks
COMMENCES.
Building Permit
4 /-
'er.?c/ft /
The zone 1
Receipt tl)o b
Issued
Form 523 Bldg. Code
80'
20' 6�� � 28'
1
. 1
32'
f/
1.
xIo'
3
i4'
FREDERICK AVENUE
LECA L DESCRIPTION
LOT.' 5 BLOCK. 1
STREET /�DDPtCSS
1131Io E. H REOERICK
NOTES
PAacet.* og5yr.-►1o5
R. C CONSTRUCTION
CBC- RC
JOB 4 460
Sc%LE:1
i
CF R16{.►T Or wAy ''