1978, 06-22 Permit App: M6886 Residence .,,. ,
JOB # 127
BASIX # 12-D
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 82.00
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.
r 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
Name of Owner RR,R Cm-1st.
CO. Address Ppb ,4212
P$inne 2I Phone 9214-9.6i19
Architect Address Phone
Engineer Address Phone
Contractor s= M'�- Address
i Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Numberpnre n f 26-25-44
Lot 2 Blk. 2 Vera Crest Subdivision
ROADWAY R/W WIDTH 50'
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 1 20x135 Sewage System septic Const. frame
(Fr., Conc.. . e
el under 2 x 0 22x242x2
4 5 �
�to�i�� 1�� 4 8 � ��0 00
7 4
Total Sq. Ft. Valuation � �
Rooms Baths 2 Basement full Foundation Const.. concrete Chimney mas. Fireplace 2
(Full, part, none— (Kind) yrgb
Heat. System f/a—eec Type of Roofing shake Eft. Finish Plywood Int. Wall Finish drywall
Use of Bldg. single fam. res., rtv LIZ 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-
tem and water supply lines.
NORTH State License No.
PR-00-N-247 CF
Ind. Ins. Acct. No.
(13f Attached 375-464-00 5
RESIDENTIAL—COMMERCIAL
REQUIRED
Plumbing Permit
En Heating Permit
In D
to
N Sewage Permit
IA
JPlans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 0/a3/71( $014/9
I herebr-Crtify for tion ubmitted is correct and there are no other structures located on this property except
as shown. f �t
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
CO-1-1/4-----,-,-.4DO NOT WRITTEE/BELOW THIS LINE
Your street address will be 14712 E. _�
42 -s' The zone is Sing, fam. res.
Sewage Permit Number Issued Building Permit/448n Receipt 142-1-) Issued
1 Remarks
I
Form 523 Bldg. Code
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