1978, 06-05 Permit App: M6623 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE L'/
1� 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 OP 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 CBL -RC( Yj( f, e ? t A.e Address P•0, Box 2704 TA Spokane Phone 83S-6567
Architect ' Address Phone
Engineer Address Phone
Contractor CBC -RC Address P.O. Box 2704 TA Spokane
'rib 838-6567
Legal Description of Property (Give complete descrip ' fro deed, tax receipt. etc.) Parcel Number 09542-1 L 1 7
Lot 17, Block 2 Fairacresa
DESCRIPTION OF WORK: New - X Addition Remodel Moving Bldg. Zone _I_ Fire Zone 3
Size of Lot 80' x 150'Sewege SystemP Se t i c tankonstFrame
.
Stories S�EDimensions 28' x 341, 8' x10 1032 r., Conc.$8. §tpd
Total Sq Ft Valuation ��FF r
Roans 5 Baths 1 Basement ful I Foundation Const concrete Chimney 2 Fireplace 2
(Full, part, noneT (Kind) (Number
Heat. System Elec. FA Type of Roofing Come• Ext Finish T1-11 Int Wall Finish Sheetrock
Use of Bldg. Residence, deck attached
No of Units _Bedrooms 2
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
t-m and water supply lines.
NORTH
See plot attached
I hereb
as shown.
SOUTH
t fy in ormatio .• -. fitted is correct and there are no other structures located on is property except
State License No.
RC CON2798 H
Ind. Ins. Acct. No.
RESIDENTIAL).- COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
inSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date f
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
4ai'/ THS$ IS NOT A PERMIT.
c DO NOT WRITE BELOW THIS LINE �(p—�
Your street address will be �/ �a �, PC�t.0 17 '//' ,
The zone 1
Sewage Permit Number Issued Building Permit i Recelpte2j/ O. Issued
Remarks
Form 523 Bldg. Code
go'
ryl
20'
G f
32'
'P R
•
zo°.
R5' GRACE AVENvC
/4'
OJ
LEGAL DESGR\P T i0N
LOTI 17 BLOGk 2_
�TREEi ! DDkE6S
111.13 E. GQAc.E
NOTES
PARCEL.{ 0i54Z—Mil
P.C. COT i RU{ -TIG;
CBC- PC
jOQ 17/
•
of (216.47 of WAY