1976, 08-31 Permit App: L5273 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON: SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.
PERMIT REQUIREEltrland 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 ps,fgce.wlth 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 47235.
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 / . _/ AIWA. . Address
Architect Address Phone
Engineer Address Phone
Phone
79220
Phone a?1,3����I �o7
Contractor /,lQ�Ij
Address
Legal scription of Prop (Give comp ascription fro deed, tax)re
DESCRIPTION OF WORK: New ✓ Addition Remodel
Size of Lot O X / d,r ci
Stories L Dimensions [, v q 4ia
Rooms _ Baths -2 Basement Foundation Const
Fu(I, part, no
Heat. Syste• Type 6f Roofing
Use of Bldg. a, 40-14 ell l
Moving
'dg. Zone ) Fire done i�
Sewage Sy te pons -
IFr.,nc...Br., etc.) de'
Sp t Valuation �� let aro
Chimney A Fir place
(Kind)
_ Ext. finis — - 1 - L _ t. Wall Finish
Jr
Amo No of Units_Bed
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH RESIDENTIAL — COMMERCIAL
State License No.
(07S -
Ind. No.
REQUIRED
7
Plumbing Permit
in Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby �tify nformation submitted is correct and there are no other structures located on this property except
as shown.
L? .,rJy ,J eF=r2/-76
ner or e Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT AI PERMIT.
Your Street address will be
Sewage Permit Number Issued
Remarr
DO T R E BELOW THIS LINE
Building Permi
The zone is
Receipt
Issued
IR Form 523 Blda. Code
%
ate , A?D�` 0,5V/ ^ oSr/ v
14
308
LEGAL DESCRISPTION
Lot 10, Block 5,
Mirabeau Ranch Addn.`
STREET ADDRESS:
11503 E. Grace