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1972, 02-22 Permit App: J1940 Residence1 APPLICATION FOR LAND USE OR STRUCTURE PERMIT County of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 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 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 Owner1. G• e /= -11-1 .1) 67 phone /H/J) Architect Phone ddress Phone Engineer Contractor AddressPhone Legal Desc iption of Property (Give complete description from deed, tax receipt, etc.) a!�f .0(`4, 11 9/ /2331-4/6-3 DESCRIPTION OF WORK: New L ------Addition Remodel Size of Lot /, s > X 14 6lL/ P/Wo Const. - - Dimensions 4Y0 X -2- 4' Moving Bldg. Zone / Fire Zone 3 Sewage System --re T i r Stories (Frame, concrete, brick, etc.) Rooms ,% Baths / Basement (Full, part, Lione) p Heat. System/774. C4 S Type/of Roofing e -:t rA t Use of Bldg. Garage or Carport Attached Total Sq. Ft. 9 7 3 Valuation J 9/ L' c/ Foundation Const. t ' ChimneyJre ( Fireplace "7 -1 -4, --- (Kind) j (Number) Int.Int. Wall Finish Q Ext Finish%L ✓�-� No. of Units Private Detatched Bedrooms <3 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. NORTH SOUTH I hereby certify information submitted is as shown. - correct ne or tG 6 y; Agent(/ Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. State License No. 3— /'62s_5 Ind. Ins. Acct. No. 91-e5 9.1' REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed and there are no other structures located on this property except (m, nraa„ DO NOT WRITE BELOW THIS LINE Your street address will be A/. Sewage Permit Number Issued Building Permits 7 9 -), Remarks The zone is Receipt 6.7 y 4..tr4is. . i. Issued Form 523 Bldg. Code PART LF :.;v:,; OF i,;E-4 �� ;. �:', T.25N. , R.43 .W.M. SCALD: 1" = 50' DAT: Fb. 16, 1972 This will certify that a field survey was performed under my supervision on the following described rrcpPrty and the nropQrty corners were set as shown. DESCRIPTION: Beginning; at the northRast corner of Tract 174, Orchard Avenue Addition, Spokane County, `,4ashington; thence WFst, a distance of 11.0 feet; thence South, a distance of 25.00 feet; thence 'ir`est, a distance of 40.00 feet; thence South, a distance of 75.00 feet; thence East, a distance of 15.00 feet; thence South, a distance of 25.00 feet; thence East, a distance of 3'.:')0 feet to a point on the east line of Tract 174; thence h:orth, a distance of 125.00 to the point of beginning and the north 125.A fret of Tract 175, ur•chard Avenue Addition, Spokane Comity, Wa: Kington. 1, ;JUN5MOR4 Mt0ii:,,J1uN4+L LAND :31JR/ r(0R N. 1203 HiltaLD Kula :,F'Ut►�.:JL, IYM�II. 09206) 1 j _ fr1AR1E T -Z A AVEN J E