1978, 06-05 Permit App: M6600 Residence1
.Tu6a
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 9920T
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a o
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 onvater 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
CBG -RC(, antate
Name of Owner
t P.O. Box 2704 TA Spokane
4 Address • • P Phone 838-6567
Architect \ Address Phone
Engineer Address Phone
Contractor CBC -RC Address P.O. Box 2104 TA Spokane PhOfe 838-6567
Legal Description of Property (Give complete descriptjarj from deed, tax receipt, etc.) Parcel Number 09542-1107
Lot 7. Block 1 Fairacres
SAY
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone ( Fire Zone 3
+e‘vage System Septic tankonst. Frame
(Fr., Conc., Br., etc.)
Stories Sit Dimensions 281 x 341, 8' x 10, Total Sq. Ft. 1032 valuation$43.950
Rooms Baths1 Basement fu11 Foundation Const
—Gull, part, nonce concrete Chimney 2 Fireplace(Numbgr 2
(Kind)
Heat. System Elec. FA Type of Roofing Comp. Ext. Finish T1-11 Int Wall Finish Sheetrock
use of Bldg. Residence, deck attached No of Units Bedrooms 2
Size of Lot 80' x 1501
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH
See plot attached
I hereby
as shown.
SOUTH
State License No.
RC CO N 279 B H
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
2/s2%ftO 4940444.
ted is correct and there are no other structures located on this property except
Owner or Agent Dale
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
((t%U
Ydur street address ■111 be /1/4/1:241 C.1 . Ci 4.Q 02/2.-4 fir i The zone is
DO NOT WRITE BELOW THIS LINE
v
Sewage Permit Number Issued Building Permit f)4 Receipt.2 36 6 'Issue
660n
Remarks
Form 523 Bldg. Code
1
80'
20' G' 6 f- 6. 6 6 ' 28'
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LEGAL DEACRIPTirysa
L07 it i 3LOCk t -
BTREET ADOQ
I Igoq E. FaEDERIcK
N OrEb
PA Rcei.. # 09537..— 1 1 07
R. C. CONSTRUC i IO,NI
CBC- RC
4/z.
FREDEtaiCK AAvtNVE
SC&LE ! I"= 2p'
or MIGHT p[ way;