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1979, 06-13 Permit App: N3695 Residence• Conn. of Spokane, Washinc n BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 APPLICATION FOR LAND USE OR STRUCTURE PERMIT a, GENERAL REQUIREMENTS PERMIT FEE T11657v 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. Con- struction must have inspections. 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 is required. See current Spokane County Zoning Ordinance for all required set -backs. 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 performea 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 building (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 OPPul2TUNrry CRZlIL Name of Owner_PR,EGISm4 DEOEJ...LPMF.ihtT 1f c Address _O, ThX /ic DLJ hone 5,35 -G1 '7c Architect Engineer_ Contractor s.501tz Address Phone Address Phone Address Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PM of 2-0 51.3-'7027 L07 1 `j / BLock 2 / M t cA PAPJC. A1)1) rilet4 DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone I9C' X 371 X /91 rX /24' /k" --C7 Sewage System 5 'Tic li1 X JR_, 22' X Z8 1 /Total/Sq. Ft.2728 Size of Lot Fire Zone 3 Stories Dimensions . 2'81)(60'4- 8' X /t ' -♦- Rooms % Const. Fr., Conc. : r., etc.) O9 Valuation iogl 75O Baths 2 Basement FUf L Foundation Const _t�NaR.ET Chimney Fireplace (Full, part, none) GcrIAZ• (Kind) (Number Heat. System FiG-T F.A. Type of Roofing &A -k£ Ext. Finish --eaS41 Int. Wall Finish j2agida LJ Use of Bldg. kg.. singi4GE - .Ai2/ -fIl _ d.DECk J4'TTAC i-tE40, — F I�)SNED No. of Units Bedrooms 3 ROADWAY R/W NIDTH Sb [3m efLoom 7 RFS Foor& A -104r BA; ii - 1N BASEWNT 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 aid streets; (5) dimensions of. buildings; (6) location of sewage sys- tem and water supply lines. m Ul NORTH I hereby certify inf as shown. 501,1 H ted is correct and Owner or Agent - there are m -1 State License No. 04C o l�)l--- Ino. Ins. Acct. No. 5— /o -8o L - COMMERCIAL REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed no other structures located on this property except .1WNs✓ 1311q-71 Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE DO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number Remarks 3 (9 3 /� ICS PA1Z 1t DI'Z 1 U 7 The zone is si FAM 1L/ Kg& Issued Building Permit Receipt f7 Z3 Issued ,�1/ 59'1