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1971, 09-20 Permit App: J0770 Remodelr • • County of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS/�"-`— PERMIT FEE PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of art/ 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 enforce !:Igt rough civil action. County Officials can not bring action to enforce covenants or dedications. Z . PPLICANT FILL IN BELOW THIS LINE fi 3 Name of Owner L tr /I9 © k'ar ddress _____JD/ CI -S 7" !`.4 .41 4 line *1J 7.67? d • Architect Phone inner Phone r` Contractor � y)"itiyi( �► ' Address "Z Zn J&) �c » / Phone N eJ - 9 C , yLegal Descri tion of Property (Give complete description from deed, tax receipt, etc.) l 41 '.._` � . • • _ 7-11E A..) ,7,-_e) 1V £ C'r� r w E.4- a _a_- . - _ 01." ,DE . i 1 a.)II, " ' p R CI- /1 / £4j P4 r^wt S. /r -A Y d TrAcrS /AT a 63 DESCRIPTION OF WORK: New Addition Remodel / - Size of Lot sC. Moving Bldg. Zone �— Fire Zone Sewage System Stolrt•es Const Dimensions Total Sq. Ft. Valuation -..57000- CIO1 (Frame, concrete, brick, etc.) i Rooms Baths Basement Foundation Const Chimney Fireplace (Full, part, none) (Kind) (Number) Heat. System T e of Roofing Ext Finish Int. Wall Finish Use of Bldg. 7-c�,�,o il�� No. of Units Bedrooms Garage or Carport Attaed L t, - ^��.�r J2 .Qi Private Det hed tCla !t e'�vz V�ro�t eon -tom a-44APLOT 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 State License No. Ind. Ins. Acct. No. REQUIRED_ ,, a Plumbing Permit r '•'Q'o� m Heating Permit 101 Sewage Permit -i Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certif n ormation submi ed is correct and there are no other structures located on 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 LIME Your street address will be 6-v4-,,,-4-P�4.r-e-A-6--e Sewage Permit Number The zone is Issued i ui1ding Permit 1--)OReceipt 6 .7-,i7 I'sued Remarks Form 523 Bldg. Code