1978, 02-17 Permit App: M4976 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 32"
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. 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 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 1s 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.
which are enforceable through civil, action. County Officials can not bring action to enforce covenants or dedications.
1 RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the. land
APPLICANT FILL IN BELOW THIS LINE
- Name of Owner R C CanStnirti rlrl Address • s ..T . - Phone 838
_ - __, 6567'
I /
Architect Address C' o LO Phone
Y
Engineer Address Phone
Contractor R.C. ConsLLuctlon Address P 0 Box 2704 T A 8pokti Phone 832-6567
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Lot 8, Block 1, Fairacres Replat #2 Parcel db 09542-1108
n/
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire 3
Zone
Size of Lot 80' X 150' Sewage syster&eiltir tank Const. Fratne
(Fr., Conc., Br., etc.)
Stories 1 Dimensions 28' X 34', 8' X 10' •Total Sq Ft 1032 /12,500
Valuation
Rooms 5 Baths A_lBasement fits Foundation Const cAClf rete Chimney
Fireplace
Ful, part, none (ai2 ndl 99
Heat. SystemUtTumber
y FAE Type of Roofing rrarrp Ext. Finish Ti Int Wall Finish sheetrock
11
Use of Bldg. SF residence No of Units Bedrooms 2
,.-in.,--4.—Q0 _
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 RESIDENTIAL — COMMERCIAL
State License No.
RCCON279BH
See attached plot
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
cn
a
y, Sewage Permit
-I
'
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
1
Plans Mailed
SOUTH
I hereby certify informs ion submitted is correct and there are no other structures located on this -property excepl
as s ow
"CC -020-4... 2—i/'78
Owner or nt. Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
' DO NOT WRITE BELOW THIS LINE 'Al
Your street address till be /V/-2/ ,. / . /2 . �� e zone is
Sewage Permit Number Issued Building Permit III Receipt /.. �
Issued
Remarks
Form 523 Bldg. Code
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