1977, 04-18 Permit App: M0725 ResidenceCbonty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE"It°'°`'
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 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 Ransom Const Inc. Address 9 915 Pines Rd. Phone 924-2033
Architect Address Phone
Engineer Address Phone
Contractor Ransom Const Inc. Address 9 915 Pines Rd. Phone 924-7033
Legal Description of Property/Wive
ive complete description from deed, tax receipt, etc) Lot Iii BI< 3 (~'Myron 5th
Parcel e,</y� -- / /p L of- IS"
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 7 Fire Zone 3
Size of Lot RIRRi Sewage System 'pti r.onst. FR
(Fr., Conc., Br., etc.)
`Stories_l_Dimensions .37/''� Total Sq. Ft. 2954 Valuation R5t7f1l
Rooms $_ Baths 2 Basement FSlll Foundation Const. rnnnrntn Chimney Cori rk Fireplace 2
(Full, part, none► (Kind) (Number
Heat. System Heat pump Type of Roofing Shake Ext. Finish !Annrl Int. Wall Finish Shnntrnr.k
Use of Bldg. Single Family Res. �� A� �C r> J'L 4, > 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.
m
N
NORTH
RESIDENTIAL — COMMERCIAL
State License No,
0 140
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informat' i i34e0rr t and there are no other structures located on this property except
as shown. s
r: -..-e--.....-6.---6-='"---------- 4/lab')
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. i2
DO NOT WRITE BELOW THIS LINE
Your street address will be C/ 6 7 /J r2vCr ji // v ,The zone is t�-ty,,/'y`�,", �G/w/
Sewage Permit Number Is ued Building Permit D 71^) Receipt g 7 S6. Issu@A
Remarks .0iirt .e4' (—I (a 0 7
L'7??,y1
Form 523 Bldg. Code