1978, 11-15 Permit App: N1449 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
ION FOR LAND USE OR STRUCTURE PERMIT' )
GENERAL REQU ,,Q'EMENTS PERMIT FEE
PERMIT REQUIRED. A land 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.
D
APPLICANT FILL IN BELOW THIS LINE
,Z• 99 )(,
Name ofOwnerN W Const Ser & ASSOC , Tnr Address F 9211 Mieeinn Suite G Phone 922-1705
Architect Address Phone
Engineer
Contractor Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Address Phone
Address Phone
Q' 3'6/`
lot 15, Blnck 12, Miraheau Ranh
ROADWAY R/W WIDTH (.,c'
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 90 X 135
Stories _Dimensions 32' X 28' Xie) i2 C.
Rooms ___5_ Baths 1Basement Full Foundation Const
(Full, part, nonce
Heat. System EBB Type of Roofing Comp.
Use of Bldg. Single Family Residence
Moving
Sewage System
Concrete
T1-11
Ext. Finish
Total Sq
Bldg. Zone —/ Fire Zone , l
Septi c Const. Frame
(Fr., Conc., Br. etc.)
Ft va uation42,x00.00
Chimney" Fireplace
(Kind) (Number
Int. Wall Finish Sheetrock
No. of UnitsBedrooms 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.
to
NORTH
See Attached
m
State License No.
ON On File
Ind. Ins. Acct. No.
On F i 1 e
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Maileil
SOUTH �1 11 1,�
I hereby cer rbfy information submitted is correct and there are no other structure loca ed on this property
.oa.ar) /7/457
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown.
except
(4,f 314419.0 DO NOT WRITE BELOW THIS LINE
Tour street address will be e, ///..
Sewage Permit Number Issued
Remarks
7
2, e
Building Permit
e zone is { 1(.616G,Lita,-�
Receipt LI %, Issued
Form 523 Bldg. Code
Lot Cost
PLOT PLAN
/0,00(2,
n
Scale :) J0�
ELEVATIONS:
Crown of Street
Finish Floor
Basic:
( )(
111A Case #
'Sq. Ft.
F
Legal
Job it
15 A
LC) I5 \ock ,r
Address
Mortgage Co.
Parcel #
Power Co.
Ali E-�
Plumber
Water Co.
Excavator
)JeA6alq
NWCS FORM #L-