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1976, 08-16 Permit App: L5112 Residence• • County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,5--/ — GENERAL REQUIREMENTS PERMIT FEE ndITrEQerlistructure scyucaResolution erect nor re of the kind or alter any bulding orstructurealreadyereted, ortohngealand use.Constructionmust conform with 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 SYS'EM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. leastSET-BACK k 25' isMrequPired, al 5' side yard,zones and 15' side yardrfrom aost cflankingnstreet,sandbac25' rearthe yardfront areprequiredrty linh, of at STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must egress. 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 9,9e ;z5 Name of Owner / /. �O - Address Address Phone Architect Phone Address Engineer Phone Contractor " 0 rn e.. Address Legal Description of Property (Give comp! to descriptio from deed, tax j ei t, e c) �D. Lill". / Of , 3 K//%'©ii , - '�7`r...r .am A1►a r 4 Phoned h 36-o DESCRIPTION OF WORK: New x Addition 90 /X i%6.-/ Size of Lot Stories i Dimensions Pi /X.30Q % Rooms 4 Baths 1 Basement /9/1/ Foundation Const Milt, re�� Full, part, none)�^/!/ H System Eke Type of F{pofing 'Sita l'e a_J Ext. Finish Remodel Moving Bldg. Zone ,— Fire Zone.3 Sewage System •S�EPr) . Const. Fra m Fr., Con*,, etc.) Total Sq. Ftv7�a g Valuation Oo Chimney�Fireplace (Kind) (Numbe Int. Wall Finish ,Pry�4 +`f �''f UI e No. of Units / Bedrooms —� Heat. ys em Use of Bldg. /-e, jt"h'ire 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. RESIDENTIAL = COMMERCIAL u1 NORTH /tie m a sn State License No. CV3-4'/-e# /4 /? -I/=N 3 Ind. Ins. Acct. No. 7 REQUIRED Plumbing Permit >�.G.:.e,u.� -r, 4., Heating Permit 5�Z'& ., C. 2044 4 f. Sewage Permit )441-01.1 Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify informatio submitted is correct and there are no other structures located on this property except as shown. Owner or Agent Dat A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS ISNOT A PERMIT. ()Ak. WI,0w g) DO NOT WRITE BELOW THIS LINE Your street address will be ,F),,F), 3 320. ,ea,(_.r )- -7'I/-.eti e The zone is ?� _� Sewage Permit Number Issued Buildin Permit S / / A.. -.Receipt 25�i Issued i Remarks /4/77 6L