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1976, 10-28 Permit App: L6014 ResidenceCounty of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 7 ,) APPLICATION FOR LAND USE OR STRUCTURE PERMIT JP/ 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. NATER. 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. PPLICANT FILL IN BELOW THIS LINE Name of Owne 1—�--�-- � — � 'd//77dress ) ° Phone 1 `— Architect Phone i �,�gineer 2 Phone Address / Phone Contractor Legal Description of Prop rt (Give comple e description from deed, x re eipt, etc.) DESCRIPTION OF WORK: New Size of L t / e G) I JI7 Const. D mension/ (Fra , concrete, brick, etc.) Rooms Baths 'Y Basement (Full, part, one) Heat. System jyr. z i -Y Type c4 Roofing Use of Bldg. (t-4- -� Garage or Carport Attached !X. Draw sketch with dimensions showing: (1) property lines; (2) street or road 10 at ions; (3) location of existing and proposed buildings; (4) distance to property lines and streets; (5) dimensions ofb, ildings; (6) location of sewage sys- tem and water supply lines. Addition Remodel Moving Bldg. Zone f Sewage System '2- —')- — Total Sq. Ft. Foundation Const e"="'->2. Ext. Finish Fire Zone Stories y ; Fireplace (Kind) (Number) Int. Wall Fi sh - No. of Units BedrS'.ms Private Detatched PLOT PLAN 4 3.5- -c- 4- -E- ra G k ty 4, 2n i >O �' '• h"v -$'d T -H Cnl .f 4 (3-.2 5-y7 - 6.3—c= j REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed FII I certify inforu)gtion sy�mtted is correct and there are no other structures located on this property except as wn. 2� �a Owner or Agent A LAND USE OR STRUCTURE PERMIT THIS IS NOT A PERMIT. 6-/ 74' ) Date ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. DO NOT WRITE BELOW THIS LINE Your street address will be /,71q.,z6 Sewage Permit Number Issued uilding Permit The zone is k L14..eA •_-7.44,(.. Receipt,l k' 7�!Issued Remarks Form 523 Bldg. Code