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1976, 11-19 Permit App: L6262 Repair Fire DamageCanty Of Spokane. Wasbtgton 1 S- a s c t Li BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT }} LJ GENERAL REQUIREMENTS PERMIT FEE ..i /' 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. 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 Address Architect Address 90`It.e, 99070 /ti, �SOa y�1cyA-t.e T.l✓. Phone 9.7cr— 412 ' Phone • Engineer I Address • Phone �r�-+� �,S' D�1 LTJ 'ini.2.i Address ��'r[r'iCs•.f /&.k, Phone 41&1=74:1;21) Contractor ?Leal Descriptjon of Property (Give complete description from deed. tax receipt, etc.) a'lee iR rv/ — osaR Qi Zca� 9-S) `/.r 41-7-2 Sern Pr' /4-441 . �/ Addition Remodel X 9s/ r&). 2o' 76-' —7 tAist DESCRIPTION OF WORK: New Size of Lot 95_)( Stories LDimensions `1T Rooms Baths_Basement 1 Foundation Const F�__' Fu I. part, none))) nn Heat. System Ty a of Roofing "---ITT—A-4-Ci � Ext Finish Use of Bldg. '"n`rvtna6J .,% #4 m aM n.c j -Q --i . ��Lac rt Moving Bldg. Zone _, Fire Zone Sewage System Valuation O00 Fireplace (Kind) (Number Int Wall Finish No of Units _Bedrooms Total Sq Ft Chimney 7C, vim...-'.l.C•rh-f Lva.L PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; tem and water supply lines. --dc tL&errnt� - -1 NORTH - RESIDENTIAL -COMMERCIAL t- Ci tJ (3) location of existing and (6) location of sewage sys- State License No. 0 4-n-U2n Ind. Ins. Acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify 'nformation submitte is cor ect and there are no other structures located on this property except as shown. Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. //I DO NOT WRITE BELOW THIS/LINE �j Your street address will be/ t �,5 �� � -lam RO - The zone is fA'-C-t Sewage Permit Number Issued Building Permit 2- Receipt y% y ued Remarks Form 523 Bldg. Code