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1978, 12-26 Permit App: N1750 Residence• • County of Spokane, Washington _. BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920 APPLICATION FOR LAND USE OR STRUCTURE PERMITc-- 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 ■ith 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. Paints 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 4' 4' Z" d res /1 57/67evC Phone 4'25'-gZ%z- Architect Address Phone Engineer Address Contractor _,,-/-r Address Legal Description of Property (Give complete description from deed, tax receipt. etc.) P rcel Number /�7 ? deg_ / /2/A✓C L✓r3T 4174/ Phone Phone o for - alo 3 ROADWAY R/W WIDTH DESCRIPTION OF WORK: New ✓ Addition Size of Lot G et Stori / Dimensions 2Li' x 31,(r9x icr et`c,e Rooms Y, Baths as Basement ?Aar Foundation Const Remodel 3 Moving Bldg. Zone / Fire one Sewage System SP//- Const. Fr., Conc.. Ba, etc.) )-eT� Chimney -Fireplace rfl sn Ft 7.92-17/ Valuation 96 DDU wA -/ /81!24 �Vt i.4. (Full, part, none (Kind) (Number Heat. System Type of Roofing C.E/44/tel Ext Finish Ant Wall Finish S/fEL Tec Use of Bldg. E3/1.2SJCC ( /, 4 Cdt er yt „ate A %T�%f.No of Units _Bedrooms ,9cv x/+1 /C2Cia g4mAfa - Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. NORTH 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- SOUTH I heresy certify infgrmation submitted is correct and as showy. ani r Q—/r7.. there are rete Li ens No A RESIDENTIAL — COMMERCIAL REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Maned i3/4z/n 02-tiver no other structures located on this property except er or Agent Date A LAND USE OR"STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES, THIS IS NOTA PERMIT. DO NOT WRITE BELOW THIS LINE S6 Your street- address will be 1 oC Sewage Permit Number Remarks Issued Building Permit The zoneets Receipt ssued Form 523 Bldg. Code