1978, 08-14 Permit App: N0236 Residence4. JOB _ _ a # 49 •- -
County of Spokane, Washington BASIC # 12 D
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.
NATER. 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.
SETBACK 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 FILL IN BELOW THIS LINE
Name of Owner RR.R CONSTRUCTION Co. Address Phone 924-5689
Architect Address o Phone
Engineer Address Phone
Contractor Sme Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Por, of 26-25-44
c�7ly,
Lot 22 Ulk.
2 Vera Crestu division 4-0411-97--
WAY R/W WIDTH
DESCRIPTION OF W KONew �� Addition Remodel Moving Bldg. Zone 1 Fire one 3
Size of Lot 1 24X1 > .rhea 4Q Sewage System Septic Const. game
vel g e under 24x50 22x24 2x24 �7 (Fr., cone e,.,C� 00
S4oril Di Total Sq. Ft. 1 r 84' Valuation
Rooms 6 Baths 2 Basement 4U] l Foundation Const.. concrete Chimney— Fireplace �
Fu I, part, noneI shake ind) dr �y jrrlber
Heat. System f/elect. Type of Roofing Ext. Finish plywood Int. Wall Finish y
Use of Bldg. czi n gl e f am, re S No. of Units Bedrooms
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 a,d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
rn
CA
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I he
as shown.
NORTH
Attached
SOUTH
OJ< State License No. On
F;le�
Ind. Ins. Acct. No.
375-464-90 5
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
In Heating Permit
D Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
submitted is correct and there are no other structures located on this property except
Uwner 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 2 34
Your street address will be 14911 E. 21st a zone is Single f am. re s.
Sewage Per t Number Issue Building Permi cei t 530'L/Issued
Remarks
Form 523 Bldg. Code
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