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1977, 05-04 Permit App: M1059 Duplex• County of Spokane, Washington 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 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 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 41p4 ��,,, , q‘./..z- 7 Name of Owner .:.I i:./ n = Address /‘'L �� / n �-� Phone ' ci; 1/9 7 Architect Address Phone Engineer Contractor kc ./_f 1..G/4,2_ Address Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number C) Address Phone £ / r DESCRIPTION OF WORK: New X Size of Lot //.:" .X Addition Remodel Moving Bldg. Zone Fire one Stories:? 1V�mensions 1. . X 77,// 4- . 41X.it Rooms'5e- t Baths / 4 (Basement P' .- (Fu(l, part, none) Heat. System P ' Typ! of Roofing Use of Bldg. /-e.42.1.4 7,1 1 �r Sewage System ,9A Qp e onst.'�-4467...- (Fr., Conc., Br., etc.) 4„ 8 x % j! x -' 1v,, fv, - Total Sq. Ft..,--- -'�' Valuation -,...?--f-')) st Ie,,aL LL- Chimney l fr'`' Fireplace/ i:a-.eix (Kind) (Npnuber lin '' / -1':1 `/ rZ1- X .iY t- Ext. Fipish i k�� - % Int. Wall Finish �� ././142, . i� Ar9_,2,�'. (( _ No. of Units Bedrooms ., `'i" �" `"-- Foundation Con 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 and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. NORTH /D /.OAIE• (:.7.-t f SOUTH I hereby cert y information submiis cor as shown State License No. OK Al F Ind. Ins. Acct. No. RESIDENTIAL - COMMERCIAL REQUIRED Plumbing Permit m Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed t and there are no other structures located on this property except Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. 6/14 ki<72DO NOT WRITE BELOW THIS LINE Your street address will be /) 7.2 / ;' ' S--! Sewage Permit Number Issued Remarks lee ttxAf- The zone i Building Permit I(‘ /.n 1-7 Receipt y/. Issued Form 523 Bldg. Code