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1976, 09-29 Permit App: L5636 ResidenceI County of Spokane. Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMITOj / _ GENERAL REQUIREMENTS PERMIT FEE -CI 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 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 pert med in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. M0V17_ OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State High y, clearance must be obtained from the County Engineer and/or State Highway Department. ACC ORY 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. C %APPLICANT FILL IN BELOW THIS LINE ifr-'get.aryC r/ Name of Owner 1.3d, �1 I �C7 Address � uas 1'� Phone Architect Address Phone Address Phone Address Phone Engineer Contractor -- SAW/ e-- - Legal Description of Property (Give complete description from deed, tax receipt etc 1 DESCRIPTION OF WORD , Ij(ew. Size of Lot _ iel Stories / Dimens Rooms Baths Heat. System Use of Bldg. airiMingrffliret Addition Basement Full, part, none 14- T_yy of Rogtfing Sids01in/ Remodel Foundation Const Moving Bld �Zqo,,n,�j_L— Fire e Sewage Systen R Const. c� (Fr., Con . B.,, aettp.) yam' d Total Sq Ft2©/�t Valuation re �V C o"'�` Chimney /(Ki5S' Fireplace (Nu /pg, ' Ext Finish t/ VII Int Wall Finish r/%/carit No of Units 1 Bedrooms - 3 /'� iAq PLOT PLAN (,J' - Dr w 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 RESIDENTIAL - COMMERCIAL I hereby as shown. SOU ioubmitted c State License No. Ind. Ins. Acct. No. e.n -NL-ER Pia -)REQUIRED, Plumbing Permit Heating Permit Sewage Permit -4 Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed are no other structures located o. this .roperty except Ower Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS I5 NOT A PERMIT. DO NOT WRIT # BELOW THIS LINE Your street address will beer / / wc;10 teig moi" The zone is Sewage Permit Number Issued v Building Permit r� 15t)d, Receipt S3 5.2 Issue Remarks _,0 -.An recedefoc4 34/.