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1976, 11-01 Permit App: L6617 MHCinty of Spokane, Wan 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 provisl'ons 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 Name of Owner _Eti.._.2/,, _ Address __ to —rr 911-0 Phone 1%a - 5'.2 lJ Architect Address rn Phone F.agineer Address Phone )'lontractorAddress L Phone ' '.Toga! Description of Property (Give complete description from deed, tax,receipt etc ) r2c-1-raf / 7ti 6' - a/Oc j`11 5 P-oi a -- .6�,q t Q�.�I #9-otA ,9-i./ -- a 5 -a, aO �/ DESCRIPTION OF WORK: New /— Addition Size of Lot (Z/[/%,�/ 7 Storieslyn- Dimensions &4J .6/ r.. Rooms "J BathsFull, part none) ' Fo Heat. System Type of Roofing Use of Bldg. "'L D 940s..9 ti, Remodel Moving Bldg. Zone ___/__— Fire Zone .- Sewage System X i S Const. h -u'^'r (Fr., Conc.,,,ppBr., etc.) Total Sq Ft I!3 a, / Valuation /9714 Cad ChimneyTit- n.1,-. (i„ind) Fireplace(tuber Int Wall Finish✓lf,`fealli-0 No of Units _Bedrooms undation Const Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. 1 Ext Finish 6f-s� /3 0-, 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- RESIDENTIAL - COMMERCIAL SOUTH I ner by ify informationisub ted is as shown. rs f�fj� Owner or Agent State License No. Ind. Ins. Acct. No. REQUIRED Plumbing Permit rrr Heating Permit Sewage Permit N Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed correct and there are no other structure;ated on this property except Ii / G ate A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BEL •W THIS LINE Your street address will be �_, - 0. a. Sewage Permit Number Issued _ Remarks COT %9 ? '74, �- -} The zone is i..../. Build ng Permit (,4/7 Receipt ssued nate Form 523 Bldg. Code