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1976, 09-28 Permit App: L5673 ResidenceCounty of Spokane. Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE 417 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 most conform with the Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. WM ,R. Water supply must be approved by the County and State Health Departments. Where work on water connections d:Sturbs ✓ 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 . .r. Address S / 7 )fl/ ).9Pn1/f e,:'t Phone Architect Address / Phone Engineer Address Phone Contractor S 4t1M Y Address Phone Legal Description of Property (Give complete description from deed, tax receipt etc ) Y414 CSF crg5-yia —075-7 S / Fair i9cves Per / it Pt crag &oo DESCRIPTION OF WORK: New fr."- Addition Remodel cel Size of Lot 7 0 k• 1 0 , �o Stories Dimensions f Y.3 t-,�6.tSP 8CnYNjir 'c Id Dee/ Rooms 6' Baths / Basement rryv r Foundation Const Cone - (Full, part, none) Heat. Systeme/{C I PO Type of Roofing , Moving Sewage System //�///���� r., Conc., Br., etc.) , Total Sq Ft O Valuation �57nat9 Chimney f✓'K I'1//d) Fireplace (Nuy�b/pf� Int Wall Finish/n-oy7 Kl.L� No of Unit Bedrooms a . Zone / Fire Wne 3 Const.VF'� Use of Bldg. -s91 �I 1./1.O'C{k1Y �+-'p¢y61�i..L teCLsh � � Draw sketch with dimensions showing: (1) proDOsed buildings; (4) distance to property tem and water supply lines. rn N 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- RESIDENTIAL — COMMERCIAL SOUTH I hereby certify information submitted as shown. N State License No. 3/7-7) Ind. Ins. Acct. No. - REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed is correct and there are no other structures located on this property Owner or Agent 9= .2-3 -7i Date except A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS 1S NOT A PERMIT. DO NOT WRITE BELOW THIS LINE ,tom Your street address will be C 10/0g • G P' 1C e • Ave p The zone is Sewage Permit Number Issued Building Permis6 73 Receipt 2'tS"- Remarks J l ,/✓1/ cI TV 1 ued Form 523 Blda. Code Gilisste n I 9 J BDA SOUTH I hereby certify information submitted as shown. N State License No. 3/7-7) Ind. Ins. Acct. No. - REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed is correct and there are no other structures located on this property Owner or Agent 9= .2-3 -7i Date except A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS 1S NOT A PERMIT. DO NOT WRITE BELOW THIS LINE ,tom Your street address will be C 10/0g • G P' 1C e • Ave p The zone is Sewage Permit Number Issued Building Permis6 73 Receipt 2'tS"- Remarks J l ,/✓1/ cI TV 1 ued Form 523 Blda. Code e-Pacc4.‘ c)CtS - 075- 7 L.. G S ALLeS (2o0 tp7 Nap. -I '7- ...,r-Pat4SitCc‘AC 1c czt 4