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1971, 10-18 Permit App: J1027 ResidenceCounty of Spokane, Washingfon BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401 APPLICATION FOR LAND USE OR STRUCTURE PERMIT I °' 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. 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 F�nglneer'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 can not bring action to enforce covenants or dedications. APPLICANT FILL IFI BELOW THIS LINE Name of ownerLG 1t11� Z_Z —Address W `! 2 % E 1 3 � Phone Architect _ 1_ r�.� Phone Engineer Phone Contractor �G�/��Pro �s-y�iz Address -4 0 If E ng Phone L)h L1 '�6S�O Legal Description orty(Give complete description from deedt x receipt, etc.) DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone _Z Fire Zone Size of Lot g6 X I L/ Z r Sewage System Stories Const. Dimensions z- S' �( L! Total Sq. Ft. / /!76 Valuation o a (Frame, concrete, brick, etc.) Rooms --6— Baths ---L_ Basement Foundation Const._v Chimney Fireplace _//jj (Full, part, none) (Kind) (Number) Heat. System S_C.oC Type of Roofing Ext. Finish % / / Int. Wall Finish Use of Bldg. 91-1 1 IV No. of Units -1_ Bedrooms G ige or Carport Attached Private Detatched. PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; Proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; tem and water supply lines. as NORTH _761 ' V\ (3) location of existing and (6) location of sewage sys- State License No. Z 23 ©/ q 7 Ind. Ins. Acct. No. REQUIRED Plumbing Permit I" Heating Permit DSewage Permit Pians Received Pians Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I her by certify information submitted is correct and there are no other structures located on this property except own% / owner or Agent l Date A L D 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 beg 0A� S�_ sewage e zone is g Permit Number Issued Building Permit Receipt Issued Remarks Form 523 Md.- [.d..