1978, 11-15 Permit App: N1450 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ' 3
GENERAL REQUIREMENTS PERMIT FEE
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 , 64y,
Jj
Name of Owner N.W. Const. Ser. & Assoc. , InC Address
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Parcel Number (9 9,-.5-3//- 74-• .3e)
E. 9211 Mission Suite G Phone 922-1705
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 12, Block 12, Mirabeau Ranch
ROADWAY R/W WIDTH 6e)
DESCRIPTION OF WORK: New X Addition
Size of Lot 90 X 135
Storiespl 1 tDimensions 32' X 2R'
Rooms _r_. Baths 1 Basement y.11 1
(Full, part, none
Heat. System FBB Type of Roofing camp_
Remodel Moving Bldg. Zone _/ Fire Zone
Sewage System Septicr�++onst. Frame
'1'9 (Fr.. Conc., Br., etc.)
//) /{21.-77'- Total Sq. Ft. Valuation 42,000.00
Foundation Const f oncrete Chimney Steel Fireplace 1
(Kind) (Number
Ext. Finish T1-11 Int. Wall Finish Sheetrock
Use of Bldg. Single Family Residence
No. of Units].—Bedrooms 2
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
1
NORTH
See Attached
SOUTH
State License No.
On File
Ind. Ins. Acct. No.
On File
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mail
I hereby certify formation submitted is correct and there are no other structures loclted on
as shown. i J / /.5/-7(i‘
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Iger _ 74/.4.10 0
.,oI-e.' C od )
Owner or Agent
this property except
Tour street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE t
Issued
(-
Building Permit
1r
The zone is
Receipt Issued
Form 523 Bldg. Code
requested Price
Lot Cost roe n_ _
PLOT PLAN
Scale:
88 Selt
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K
"25
Par4
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0
C.�:AAe r ( t o e,
ck eye
-ELEVATIONS:
Crown of Street
Finish Floor
Basic:
Sq. Ft.
FHA Case
Tob #
i
Legal
Address
cc I
G ; c.. RC1 ( �•
orrgage Co.
r
Parcel
Power Co. Water Co.
Plumber Excavato
or -t vs
NWCS FORM #L-7