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1978, 08-02 Permit App: N0243 ResidenceCounty of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT g� 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 mast 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 Engineer e l Address n Contractor A`tP'�a'�' /sL4'' Address •S�/,f/� Phone 540, p 1T -.2(5J Z__<< _w.T_,_..->530 Legal Descripti of P rty (Give42mplete description from deed, tax resejpt, etc.) Par el Number — Phone Q2>S Phone Phone z09 2/ ccs Wrte l OTE' .-tiSli/,` DESCRIPTION OF WORK: "New � , model Size of Lot /i c�'- Addition e 3 Ss-® Moving Bldg. Zone Sewage System Fire Zone 3 t. runt' �Fr.,onsConc., Br., c.) Stories Dimensions Total Sq. Ft. = dam Va'luatione Rooms % Baths 7 Basement f/W7 Foundation Const C / O C i(D(W Chimney ff Fireplace J''�dn Fu(I, part, none' /� (Kind) �, 4. (Number Heat. System rR a Type of Roofing ` 4f Si�it Ext. Finish t 1 FI�SCA nt. Wall Finish %4' e0 Use of BIdg.idt..ki� 6401/L 5" ,S/A9j11C' ` bF e `r 6Azofe/� 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. m NORTH SOUTH m a State License No. ZZ.3 v/ -fro -!E-4)/Z Ind. Ins. Acct. No. — COMMERCIAL REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed I hereby certify information submitted is correct a there are no othe structures located 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. DO NOT WRITE BELOW THIS LINE Tour street address will be /9lZ 1.3_,/,t_ -Ay ff ;_ The zone is. _I Sewage Permit Number Issued Building Permit Receipt, -57c1-4 Iss ed Remarks Form 523 Bldg. Code