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1972, 02-22 Permit App: J1941 Residenceo s County of Spokane. Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT 8 GENERAL REQUIREMENTS PERMIT FEE j 02 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 onwater 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 thestructure 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 ed 99:2_0h Name of Owner E - _ „✓ • - ddress .2 C G e 5 a • f Phone f^S' ` S70%l Architect Phone Engineer Phone Contractor ;„....4„krue Address Legal DeBcriDtion of Property (Give complete descrip ion from deed, 1//. 01/ t {p Phone DESCRIPTION OF WORK: New. Addition Size of L t ft, ) j( / 217 ' Const. 71.4.r.a Dimensions YAr 'X 1S' t 3 8 )- Remodel Moving Bldg. one Sewage System Total Sq Ft. (Frame, concrete, brick, etc.) Rooms G Baths 611- Basemen 4 (Full, part, one Heat. System 4' Type of oofing (d)-2-71- Use d) -2- //dt- Use of Bldg. Garage or Carport JMocked Foundation Const Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. rn rn NORTH Fire Zone Stories % Valuation �'-•7 no C-5,1_,41. , Chimney '`-// Fireplace �i (Kind) �/ (13 -umber) Ext. Finish %%/2 -/a -C-6 Int, Wa11 Finish F'C L,--t/a No. of Units / Bedrooms 457 Private Detatched PLOT PLAN property lines; (2) street or road locations; (3) location of -existing and lines and streets; (5) dimensions of buildings; (6) location of sewage sys- El)3a7r SOUTH State License No. 0/.•i -z / —L ?-5 3 Ind. Ins. Acct. No. 9/ -acs' 9 s'7 REQUIRED Plumbing Permit ,n Heating Permit V H Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed I hereby certify information ssuubmmittedd_is correct and there are no other structures located on this property except as shown. e04 -w1 y ��/`� -7-fr.) - �. 2 - 7 Date CONSTRUCTION COMMENCES. or Age A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE THIS IS NOT A PERMIT. be 1.'s 3 0 7 C... C jdi- The zone is.4' c 4_,,E¢A ♦-L/__._r 7 Receipt Issued Your street address will wage Permit Number Issued /Building Perini Remarks .2 -.�.3 -72 (' ftr- (..ro p�3.u/ Fn mai r DO NOT WRITE BELOW THIS LINE Form 523 Bldg. Code