1978, 02-06 Permit App: M4794 Residence, Renewal of M1571 T
C*,nty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 46.00
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 Stat
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 R&R Const. Co. Address P.O. Box 14217 Spokanephone 924-5689
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 2 6 5--4/ Z 7(1/3
Lot 13 Blk. 19 Early Dawn 2nd
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zope 1 FireZone 3
Size of Lot 50X122X128X40X128 Sewage System septic
Const. _frame
split ent;yx �.rgi24Z gRE4 1704 (Fr., Conc.•4Rx.at b.00
Stories Dimensions Total Sq. Ft. Valuation
6
2 full con. mas 2
Rooms Baths Basement Foundation Const. Chimney Fireplace
Full, part, none) (Kind) (Number
Heat. System fa-elec Type of Roofing comp Ext. Finish plywood Int. Wall Finish drywall
Use of Bldg. sin g f am. re7 � ��.. a_.
No. of Units I 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-
tem and water supply lines.
NORTH RESIDENTIAL — OMMERCIAL State License No.
223-01-rr-co-n-247cf
Ind. Ins. Acct. No.
attached 375-464-00-5
REQUIRED
Plumbing Permit
in Heating Permit
in
to ce Sewage Permit
-I —4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
0.221/lerSOUTH
e y ce 'fy informs ' n ubmitted is correct and there are no other structures located on this property except
as shown. Feb. 6, 1978
Owner or Agent 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 et `.
Your street address will be 1 E 20th Ct. 1 The zone is sin. fam. res.
4405
Sewage Permit Number Issued Building Permit '1 Receipt /S 17' Issued
Remarks ,
RVD H-0 s0
Form 523 Bldg. Code
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