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1978, 06-09 Permit App: M6731 ResidenceCounty of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE'J/J e� 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. Name of Owner Architect APPLICANT FILL IN BELOW THIS LINE Address P ©• y 9 Phone Address Phone Engineer Q Address Phone Contractor Address Phone Legal Descri do of Property (Give c mplete description from deed, tax receipt, etc.) Parc J Number 195--173- DESCRIPTION 9s :3 - DESCRIPTION OF WORK: New Addition Remodel Size of Lot /'' . Y " X' %fit€ ‘ / X /S yg. , Moving �X 42 - , Sewage System Stories _LDimensionsY X oZSi /.21X, 2 ,22 X 2 Y' /U.l... �T Total Rooms �_ Baths 4 3 Basement, fad Foundation Const C-12° '---c�JL; (Full, part, none C4 -Type of Roofing )�f BId Zon t Fire Zone Const, (Fr., ConciBr., etc.) Sq. Ft ;ZS—C, 2 2¢�..al��atio ='ej /00 Chimney '7)tiFireplace (Kind) (Number Int. Wall Finish Lie 4 No. of Units __Bedrooms Heat. System Use of Bldg. R Q � 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. no NORTH a&JJ NAJ-- ?tetAet SOUTH I hereby certify informationtted as shown. Owner or Agent m N State License No Ind. Ins. Acct. No. COMMERCIAL REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed rrect atrfi here are no other structures located on this 0/75 Date property except 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 Sewage Permit Number Remarks (9 -I,. Jeff 1 E 76 / z 3, Issued el* lding Permi The zone isjm s.214w Receipt YOS4�6 Issued Form 523 Bldg. Code 4.1 s 43 Crt i9'!