1977, 03-15 Permit App: L7447 ResidenceCALty
of
Spokane,
•i -• Washtfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT
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.
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.
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 N 915 Pines Rd. Phone 924-2033
Architect Address Phone.
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) . Lot 6 Bk 1 Pondra East
Parcel No.
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot ft 100.38 X 187.10 Sewage System Septiconst.
Pr., Conc., Br., etc.)
Stories 1 Dimensions �c�."r°� Total Sq. Ft. 4556 Valuation 85,500.00
Rooms 9 Baths Basement Full Foundation Const., Concrete Chimney Brick Fireplace 2
Full, part, none (Kind) (Numper
Heat Pum Shake �nnedar &Brick SheetroCK
Heat. System P Type of Roofing Ext. F nistt' - .Int. Wall Finish
Use of Bldg, Single Family Res 4"L"w , y— No. No. of Units _ Bedrooms 4
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
State License No.
OK ON FII -15
Ind. Ins. Acct. No.
as
REQUIRED
lumbing Permit
:eating Permit
ewage Permit
tans Received
tans Checked
tans Returned
tans Picked Up
tans Mailed
I hereby cert' s tted is correct and there are no other structures located on this property except
'Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
'
,�2 DO NOT WRITE BELOW THIS LINE
(9�yj•p /�
Your street address will be 2 -2 The zone is1Q.11�,4-/4-��'�/�.
Sewage Permit Number Issued Building Permitnj Receipt !x(74,Issued
Remarks
Form 523 Bldg. Code