1978, 06-05 Permit App: M6566 Residencei
,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE L5 -
PERMIT
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of say
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�ZFFP
FILL 1N BELOW THIS LINE
Name of Owner CBC -RC/ �jr4t.p' c,CF tlAddress .0. Box 2704 TA Spokane Phone 838-6567
Architect `/ Address Phone
Engineer Address Phone
Contractor CBC -RC Address P.O. Box 2704 TA Spokane phone 838-6567
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 095421216
Lot 16, Block 2 Fairacres
/20-C- /Q/ Gf) = 5�
DESCRIPTION OF WORK: New X Addition
Size of Lot 80' X 150'
Stories''1_Dimensions 261 x Of
Remodel
Moving Bldg. Zone / Fire Zone a
Sewage System Sept i c tankponst, Frame
(Fr.. Conc., Br., etc.)
Total.Sq Ft 1040 Valuation $45.350
Roans _LBatha 2 Basement full Foundation Const concrete Chimney 2 Fireplace 2
Fu 1, part, none) (Kind) (Number
Heat. System El ec. FA Type of Roofing Comp• Ext Finish TI -11 Int Wall Finish Sheets!
Use of Bldg. ReS i denCe 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-
'em and water supply lines.
�Ikt
I cI
NORTH
See plot attached
SOUTH
State License No.
RC CON279B H
Ind. Ins. Acct. No.
RESIDENTIAL
COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
PM/77 2
I hereb ertify nformation byitte is correct and there are no other structures locat�eyn this property except
Cs/J
as shows,• / 7
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
opeiCS1IS NOTA PERMIT.
fit 2
DO NOT WRITE BELOW THIS LINE
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"„ J Your street address will be //�j o� 5': �C;Q n 45" The zone is G�-
'I(i Sewage Permit Number Issued Building Permit(Y/ Recelpto2 fC4 Issued
Remarks
/
Form 523 Bldg. Code
4-
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