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1973, 05-04 Permit App: K1562 MHCowenty of Spokane, Washington BUILDING CODES DEPARTMENT. COURTHOUSE. 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 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. TPTER. supply must be approved by the County and State Health Departments. Where work onwater connections disturbs e surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. AGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133and47.235. 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 thestructure 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 AlA -'h k WA Architect Contractor Legal Description of Property (Give • 1• Phone Address gineer — Address 1° Phone gar -0157/ 91a-06 .) L0-1- if - $Lock' 6 cSA-°Keomplete a""i/1 mei Mob? frt./YO�escF s rr t (5'rf6'.1., -0204( PA k. e e I Plot DESCRIPTIONyOF,)VORK • New Addition Size of Lot 7M X J 3 3".- "� Const 4.Ir M e Dimensions 21.71x 6 d' Remodel Phone Phone d eldrti oW (Frame, epnerete, brick, etc.) u Rooms 4) Baths 1 Basement " Ll Foundation Const EL (Full, part, none) �,A ,�/.. Heat. System G L ee �T/ype of Roofing /I1 C t '¢L Use of Bldg. lt't d %1 1'L e (rob (K e AS Re 5- I ewe Garage or Carport Attached /Y o Moving Bldg. Zone Fire Zone Sewage System �.,le p1, C. Sto�r' s 1 Total Sq Ft /'! / O Valuatioff7.3 (5 0 �. 0 0 Ce Mend Ext Finish Ri o e 0.:S Chimney l d Fireplace IVO 0 (Kind) (N mber) Int. Wall Finish VY 0 0 q No. of Units / Bedrooms Private Dutatehed N0 PLOT PLAN Draw sketch with dimensions showing: (1) property lines, (2) street or road locations; (3) location of existing and proposed buildings; (4) distance to property lines aqd streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. NORTH sem 4-1tnC.Heci SOUTH I hereby certify informat''on sub itted is correct and there as shown. Owner or Agent State License -No. Ind. Ins. Acct..No. REQUIRED Plumbing Permit �w Heating Permit tm • Sewage Permit H Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed are no other struct res located on this property except Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. euteksteLarlilihezdajDO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number Issued Remarks lyry Building Perm e zone is V Ifita 91(r�.-.�(!/ Receipt 7 Issued Form 523 Bldg. Code o , / 0c, C- ti-tdt A (31 4, uMmoNd -14 is, kis IP kr H /£-±h A W A c /8Z JAcksoN Di se Ate et_ go"