1978, 01-30 Permit App: M4698 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
D a
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 •ith 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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
APPLICANT FILL IN BELOW THIS LINE
with the land
dedications.
Name of Owner
Architect
Bell Builders, Inc. Address P.O. Box 14320 99206 phone 0 926-9555
Address Phone
Engineer Address Phone
Contractor Bell Builders, Inc. Address P.O. Box 14320 Phone 0 926-9555
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number ,n 1 - 9U6/> 1#0.6.
'
Lot 3 Block 2 Myron 8th F / 09gy2-
DESCRIPTION OF WORK: New x Addition Remodel
Size of Lot Irregular 150 x 202 x 126 x 200
Moving Bldg. Zone _/ FirtZone 3
Sewage System Septic Const rams
(Fr., Conc.. Br., etc.)
Deck 10 x 12'otal Sq Ft 1 Q8S Valuation 71 4RR.0(1
Concrete Chimney mason
(Kind) Fireplace N�2
Int Wall Finish DryW(Ltber
No of Units1-Bedrooms3
Stories RiKnensions 52 x F3711 Gar. 22 x 21
Rooms ._Baths2 part, none)
Basement U Foundation Const.
Ful,
FAEType of Roofin Shake
Single Family Residence
Heat. System
Use of Bldg.A Ad
Ext Finish
T 1-11
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PL N
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SEE ATTACHED
SOUTH
State License No.
On File OK
Ind. Ins. Acct. No.
cESIDENTIAL - COMMERCIAL
REQUIRED
M & H
Plumbing Permit
Heating Permit KTU
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certif information submitt.. is cor ect nd there are no other structures located on this property except
as shown. 1/30/78
Own -r :r /gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. .
Your street address will be id. ,-S/4 /r, ,1-4.24h®,t (141 -ad -r- 7 e zone Ss. ifl-g//,csL-iQta
Sewage Permit Number Issued Building Permit Receipt /4f98' Issued
Remarks
®2gd 111224 DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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