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1974, 12-04 Permit App: K6433 ResidenceCounty of Spokane. Washington BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201 je d 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 mast 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 car. not bring action to enforc covenalts or dedications. APPLICANT FILL IF! BELOW THIS LINE Name of Owner A r A i'/ %l D 4 4+ ' Address Architect Phone Engineer Phone Contractor P. C. An )( /a Phone c7r% 6'6 /6 O 5t) r -7 (1_ Address S Phone y i Legal Description of Proper y Give complete description from deed, tax receipt, etc.) ©� ho r �' ../9 . �n �Z� DESCRIPTION OF WORK::New �_ A dition Remodel Moving Size of Lot /es !e / jc:, / —" i Const. f' Alene Dimensions L .) ' 7, )C ram concrete, brick, etc.) Rooms '7 Baths 2- Basement (Full, part, none) 1:--/ C L Type of Roofing Foundation Const Heat. System Use of Bldg. Shp Bldg. Zone / Fire Zone 3 Sewage System ' f"/ ( 7 pries Total Sq. Ft. d 7c0 at. Valuation /o £7C 0S.' 0 ChimnriAMM-414kireplace Z (Kind) (Number) Int. Wall Finish %O f y h.14" No. of Units Bedrooms j Private Detatched , � AA:4 056 4 34.4.4a4 r •1- c v"VC: aT - Ext Finish Lk; 0 i e Garage or Carport Attached i(2 4�>L Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. /a s"S PLOT PLAN property lines; (2) street or road locations; (3) location of existing and lines and streets; (5) dimensions of buildings; (6) location of sewage sys- kuildeA4r“tt 1 161 I here as shown. b1;6')I SOUTH nformat bmitte State License No. Ind. Ins. Acct. No. REQUIRED Plumbing Permit ▪ Heating Permit a sue Sewage Permit 5 Plans Received 31 Plans Checked Plans Returned O Plans Picked Up Plans Mailed correct and there are no other structures locate yl on this property except Owner or Agent Dat A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Your street address will be / 02 ae) Sewage Permit Number Issued wilding Permit ,13 3 Receipt Remarks / j � `t e zone is 2. L4L . Issued Form 523 Bldg. Code