1978, 01-05 Permit App: M4571 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 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 disturb:
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. 4
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 Bell Builders, Inc. Address P.O. Box 14320 Phone
Architect Address Phone
Engineer Address Phone
926-9555
Contractor Bell Builders, Inc. Address Same Phone
Legal
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number (%6, /J --
Lot 18 Block 2 Mvron 7th
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Z - Fire one -
Siam of Lot Sewage System Const.
Irregular Septic �rame
Fr., Conc., Br. tc )
Stories S ;l .ensions 32 X 51 j- _x X�2 /- /OXI4/ Total Sq. Ft. Valuation ��1,465
7 2 yes p Concrete mason. 2
Rooms Baths Basement oGildation Const.. Chimney Fireplace
Full, part, noneT— (Kind) (N"
umber
Heat. System FAE Type of Roofing shake Ext. Finish T 1-11 Int. Wall Finis Drywall
Use of BI Sing a Family Residence No. of Units Bedrooms
a LOT PLAN
Draw sketch with imenrtance
wing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) di property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
rn
CA
I hereby
as shown.
NORTH
SEE ATTACHED
SOUTH
State License No.
ON FILE
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
(h& H
Plumbing Permit
M Heating Permit KTU
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information submitted is c¢rrect ay4 there are no other structures located on this property except
1-5-78
Owner' or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /— 1.�d .t-ff %� The zone is
Sewage Permit Number Issued Building Permit Receipt/Z7-5- Issued
Remarks
Form 523 Bldg. Code