1978, 07-21 Permit App: M7251 Pool County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE - a
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/
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 Owner John H. Sellers Jr. Address 18505 E. 4th phone 928-6306
Architect Address Phone
Engineer Address Phone
Contractor _ Mooi Construction Inc . AddressW. 2708 Northwest Blvd.992OEphonQ 328-0122
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel #19551-0515
West half except North 390 Feet, Lot 7, Block 27, Corbin Addition to Greenacres
l ' h Y gilt) t1 '
D SCRI TION OF WO : New 0 X Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot tgA4 34;, Sewage System K CF�ns. Vinyl etc.)
Stories ' Dimensions 16; x 35 586 1 5 300.00
Total Sq. Ft. valuation$
Rooms !fit BathsP Basement na Foundation Const. Vinyl & Steel na na
(Full, part, none) Chimney Fireplace
(Kind) (Number
Heat. System (C As Type of Roofing naExt. Finish Vinyl Int. Wall Finish na
Use of Bldg. Swimming Pool„ privateIVN
No. of Units_Bedrooms
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.
/-/ 73) NORTH 1 ENTI L-COMMERCIAL State License No.
T Ind. Ins. Acct. No.
.3-2‘›
J '—. SC /` , REQUIRED
4.
A_—_
�/ 1 �5Y , Plumbing Permit
�-�� ►- r mHeating Permit
rn /f11)i
HSewage Permit
Plans Received
�'j"'� Plans Checked
�—` Plans Returned
o Plans Picked Up
K1 Plans Mailed
. N 7/412/4/7?de0.4,044
SOUTH
I hereby fy in ormation submit d is correct t re are no other structures located on this property except
as shown r-
1 r / -st ,�ULy zl L97
Owner or Agent Date J
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DONOT WRITE BELOW THIS LINE
Your street address will be 4 / $' ?' Z2Gilt„e— The zoneA
is 4�.(co L1RL L1 A _
Sewage Permit Number Issued Building Permit.' / Receipt kin// Issued
Remarks
if •7 St
Form 523 Bldg. Code