1978, 09-25 Permit App: N0727 ResidenceUtility of Spokane, Washnhgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /LOO L
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 OwnerRansom Const, Inc. N 915 Pines Rd. Z�
Address Phone 924-2033
Architect Address Phone
Engineer Address Phone
Contractor Ransom Const. Inc. AddressN 915 Pines Rd. Phone 924-2033
Legal Description of Property (Give complete description from deed, tax r
Lot 3 8k. 4 Ridgemont Estates No. 2. �j,!-.
DESCRIPTION OF WORK: New XXXX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage System Sewer onst.Frame
2 71x30 f f 3487 (Fr., Conc. 1Brb efiU1.00
Stories Dimensi nsf Z y X �� f
9 Full Concrete Total Sq Ft grickvaluation 3
Rooms Baths 3 Basement Foundation Const
(Full, part, none) Chimney Fireplace
(Kind) (Num er
Heat. System Heat pump Type of Roofing Shake Ext. Finish T-111 & Cedar Int. Wall Finish Sheetrec�
Use of Bldg. Single Family Res. Garage attached and Deck. No. of Units_ Bedrooms 4
Size of Lot 140x190
pp- PLOT PLAN
Draws ch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines ad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
PRoPo56P REsIPEj4
RESIDENTI — COMMERCIAL
31'
/3,260
—tot rrir—'( ji
State License No.
ON FILO.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
1 Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
X 5 err_ 25i 1177ij
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ON itp? 7/26/7" DO NOT WRITE BELOW THIS LINE
Your street address will be % 22,05 CCNKLIhI I OP7 The zone is„S/IL144FM.44LY �ES
Sewage Permit Number Issued Building Permit /V4 7.2 7 Receipt 8ftT 1( Issued /
Remarks
Form 523 Blda. Code