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1976, 01-28 Permit App: L2496 ResidenceCity of Spokane, Washlgton BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEEL -1-1-'"--5.11 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. 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 Owner / 12/ 2 (/ /,./ / AJ /- Address ill T 5 &') X/ 3/1 Phone »---/- Architect Address f --/,e/1 '1 t,-/ 4rt 2 474 Phone Engineer Address 5 s J5— - Phone Pi .ne i Contractor Address Legal Descripti of Pro rt (Give comp a descripti fro eedr receipt, etc/ DESCRIPTION OF WORK: New Addition Remodel Size of Lot //( 1/ / G // Stories Dimensions s X G3 Rooms— Baths -2 Basement / K /1 Foundation Const (Full, part, none) Type of R Heat. System Use of Bldg. Moving Bldg. Zone / Fire Zone Sewage System-S-<j� r/ onst. %'i/ /7 "/ (Fr.. Conc., Br., etc.) Total Sq Valuation ` 7 ('7? r Tc Chimney /' // Fireplace - (Kind) (Number Int. Wall Finish t iy k , // No. of Units 1. Bedrooms --" Draw sketch with •imensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. m to NORTH property lines; (2) street or road locations; (3) location of existing and lines and streets; (5) dimensions of buildings; (6) location of sewage sys- RESIDENTIA — COMMERCIAL SOUTH I hereby certify information submitted i %//� as shown. � r or Agent A LAND USE QR -STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE THIS IS NOT A"PERMIT. correct and there are State License No. 1. '? - / /7/7%3' Ind. Ins. Acct. No. s �-7 2 REQUIRED Plumbing Permit • Heating Permit // %� •- ��'�z /_ Is • Sewage Permit �' /> ' i/ Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed no other structures located on this property except O 'kkfr DO NO WRITE BELOW THIS LI / Your street address will be 43/7 �IJ J LC' Sewage Permit Number Issued Date CONSTRUCTION COMMENCES. Building Permit e zone is Receipt Remarks Form 523 Bldg. Code • i - 4 G oJ / §.1 ‹ - /. 0,77/1'N e% () / 6 2-- • X / /7/ c' /4'y