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1977, 04-06 Permit App: M1719 ResidenceCounty ®f Spokane, Washingt®n BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4 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. 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-4p 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 J,l, . C E d% f L &r1aG • Address % .2 /© AZ Ze Gl P 41AIrr . Phone Architect Address 41Jfa le' . f 62 f- `l�i�- Phone 7 Engineer Address C1 C/ 2 0 / Phone Contractor i �� t? i�-�fu Address Phone Legal Description of Property (Givg�complete description from deed, tax receipt, etc .1�Parcel. Number PAVMA C' V DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone_ Size of Lot 7 iii �'—� �� 2 �G �/ /'y" .Sewage System onst.� X�X'421,,'7-X'421,,'7-Ei✓�-,�Uj Fr., Conc., Br., etc.) Sto s Dimensions / Total Sq. Ft. Valuation ?�Z � � � Rooms Baths - Basement Foundation Const.. 1 re) r%G A ' LEI Chimney xFireplace —�2 Fu I, part, none // (Kind) (Number Heat. System �/r-W Type of Roofing :�,��k Ext. Finish G//U/ d ,i) Int. Wall Finish 0 a ZZ Use of Bldg. Lill i";2E 4r) CA &/ No. of Units L.Bedroom �— �.�,u� 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. CA I hereby certify as shown. NORTH 17-41 Ly SOUTH State License No. Ind. Ins. Acct. No. RESIDENTIAL - COMMERCIAL REQUIRED Plumbing Permit in Heating Permit 40 E &'l AV i HSewage, Permit G Plans Received Plans Checked Plans Returned. Plans Picked Up Plans Mailed on submitted is correct and there are no other structures located on this property except Owner or Agent X Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. Your street address will be Sewage Permit Number Remarks Form 523 Bldg. Code DO NOT WRITE BELOW THIS LINE The zone is Issued Building Permi N Receipt i Issued