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1973, 09-21 Permit App: K2802 MHCounty of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE . ? .MIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any id or alter any building or structure already erected, or to change a land use. Construction must conform with the )kane County Building Code and Zoning Ordinance. Construction is subject to inspection. MR. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs 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. 45-133 and 47.235. C -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at tst 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required. ITE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress t egress. JNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be *formed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. LING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State ;hway, clearance must be obtained from the County Engineer and/or State Highway Department. ;ESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. ;TRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land ',ch are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications. APPLICANT FILL IN BELOW THIS LINE ie of Owner %Lr '717 hitect Phone ddress Engineer Phone tractor Address Phone al Description of Prop. (Give complete descript n from deed, tax receipt, etc. 7' 4Ioc,e 7 /� inwoe% (-, :SCRIPTION OF WORK: New v Addition Remodel se of Lot /9.. X /LAS nst Dimensions / a x 6 o Moving Bldg. Zone rame, concrete, brick, 9tc•) Homs Baths / Basement � Foundation Const (Full, part, none) at. System Type of Roofing e of Bldg. 0,e/ /G JYvue Sewage System Total Sq. Ft Fire Zone 3 Stories / Valuation de) 61 "5 /© C-^ Chimney Fireplace (Kind) (Number) Ext Finish Int. Wall Finish No. of Units / Bedrooms wage or Carport Attached Private Detatched PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and >posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys- and water supply lines. NORTH 1) I here shown. 5OU7 ify informat mitted is correct and there are no Owner or Agent m other State License No. Ind. Ins. Acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed structures located on this property except Date LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. HIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE it street address will be /73 2(.4 gage Permit Number Issued larks ,4c--dI •)/(Gf� Building Per The zone is 6%19o-Receip >rm 523 Bldg. Code to LIU, Spokane County DEPARTMENT OF BUILDING &SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: / U S- CITY/STATE/ZIP: SUBDIVISION: V 7l/L £'>-7 BLOCK: 7 LOT: ZONE:(,(&) DISTRICT: LOT AREA: F/A: WIDTH: V DEPTH://S-0 R/W: # OF BUILDINGS: / # OF DWELLINGS:--1091L- WATER DISTRICT: OWNER: i4 A/ )4.2a2Y ZiAmecif9 PHONE: - - MAILING ADDRESS: /g565-- G ( W/ , CITY/STATE/ZIP: CONTACT: J7/ k- C�v,�i��s cep 37TS yi76,e 1 PHONE:( V )-2 - SETBACKS: - FRONT: 7 ?) LEFT: (S� RIGHT: s REAR:. f)-7 PERMIT USE: -7 - r < /�u E t **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: PHONE: PHONE: IMO DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: 5o A (477 3zo c -- .DO ty c.uaap I 2,4,0-cr6 .C.5-0 6 41. 6 Po r/-( 6 v;