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1976, 12-29 Permit App: L6609 AdditionClinty of Spokane, Wasagton BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 s ructure 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. 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. Name of Owner Architect Engineer APPLICANT FILL IN BELOW THIS LINE 92,2/ Address e e /,,3 20/ c "/A?7/10 Phone 9d 4i 4 0 0 Address Phone Address Phone Contractor Address Phone 095e —a>s7 Legal Description of Property (Give complete description from deed, tax receipt, etc.) Lc* S— "UR — 1, rVez,uC1Cfzfr2 �.e& 0.441--% DESCRIPTION OF WORK: New ' , Addition Remodel Moving BIN. Zone FireZ one lJ Q Sewage SystemConst s/, q,C��p-may Size of Lot Q X ���/� c (Fr., Con,_.,, Br. t etc., �Zj Stories /� Dimensions �'7 JC 7 t% / Total Sq Ft y� U Valuation -�j ?)OC Rooms Baths / Basement Foundation Const. Chimney Firepl ce (Full, part, nonce— (Kind) (Number Heat. SystemType of Roofing e Ext Finish Int Wall Finish /Use of Bldg. (11 .Q.C7E --S ° ..,s, i— No of Units _ Bedrooms .4-2--r PLOT PLAN /� C cC c enm -G-a Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;.(3) location cf 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 RESIDENTIAL - COMMERCIAL gait Amat- In ,% State License No. O - K - Ind. Ins. Arct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Rec ved Plans Che ked Plans Retu ed Plans Picked p Plans Mailed SOUTH ion submitted is correct and there are no other structures located on this property except 7,2 2 —7 ,6 Owlie o Agent Date A ' USE OR STRU TORE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS 1S NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number Issued Remarks tx42 The zone is L. r Building Permit LG 0 Receipt .C124" I ed - Form 523 Bldg. Code