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1971, 04-05 Permit App: J3911 Residencer County of Spokane. Washington BUILDING CODES DEPARTMENT. COURTHOUSE, 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 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 dedications. APPLICANT FILL IN BELOW THI Name of Owner - W-4- l�a.(�f,• address Architect i Phone F tgineer Contractor Address uJ Phone k414 -Si .3 o '9 a -d eD Phone Phone Legal Description of Property (Give complete description from deed, tax receipt etc.) L_ OT 1 13,116;a4 -I IG 1{..0.24r". etc. • 0,11 _ a- s - -eV CPf„,..24' 3.-7 saw — a co 1 j DESCRIPTION OgF_WORK: New Addition Remodel Moving Bldg. Zone i Fire Zone Size of Lot vY X 1 3 3 Sewage System ,:a/ ut-PJt. Stone / 2 P,� - Total Sq Ft , ! 69 ValuatioFrt N (Frame, concrete, brick,ietcJ V �' ,, al sUJ RoomBaths � o Basement z Foundation Consl QpN L C imney replace (Full, part, none) n%� ��;' n (Kind) (���(Number)/ Heat. System 8/4% E- Type of Roofing \ t-.o� Ext Finish 1i �L Int, Wall Finish �C(j/.w .0_4_,A..f-cam'-- (Wa_I.LL /et l--- 1 Use of Bldg. Garage or Carport Attached PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) oposed buildings; (4) distance to property lines and streets; and water supply lines. NORTH ggl a2ga, No of Units Bedrooms Private Delatched street or road locat (5) dimensions ofb 3 ons; (3) location of existing and irgs. (6) location of sewage SYS - • SOUTH State License No. as3—.a/- j;' Z Ind. Ins. Acct. No. REQUIRED PlumbingPermit 1 L t t ' 'A . m Heating Permit �A %f Sewage Permit �"�' Va6 _ N y Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed I herebcertify information submitted is correct and the a are no other structures located on this property except VUas shown. EY% 6'tt �l c / Mt .4, 1c �(2r� :1 tCl . ner or Akent / / Date 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 Sewage Permit Number Issued e zone is / 1 71 Receipt Issued Form 523 Bldg. Code 1