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1971, 10-29 Permit App: J1176 Residence:3 ) -meq-7/ OT -EH, y_,., _ oUnfy of Spokane, Washington 04 4 a LLDING_COLIES_ 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 an/ 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 or dedications. OC �A,_,-nI �CAPPLICANT FILL IH BELOW THIS LINE ow �•9�Qe Name of Owner.♦-G� i� � XV'/�,,,.v„ 'ddress �L si. - 22� Phone h�G�%'/g02 Architect Q Phone Engineer Phone Contractor j2/./G 4.. . Address /� Phone /' Legal Description of Property (Give complete description from deed, tax receipt, etc.) � / z%� 7 �" Q L. /3 ,C3.1_/(3 1/.ERA 04 i.. PA /? /f' A P 0 f‘V DESCRIPTION OF WORK: New I/ Addition Remodel Size ofLgt 15- X/.._ ' ,/ ConstN //A44./ Dimensions /o )( 4 . (Frame, concrete, brick, etc.) Rooms_ Baths / Basement -IA. -Foundation Const (Full, part, none) Heat. Syste . V L1 / A ' Ty of Roofing e„."1 ---Y1-112 Ext Finish T/// Use of Bldg. iy( am. O�Q�f r'���� No. of Units Bedrooms Private Detitched J-'' Moving Bld Zon Fire Zone Sewage System Stories / Total Sq. Ft. /6 41 a Valuation i8.~ Chimney (Kind) Int. Wall Finish Fireplace (Numbe Garage or Carport Attached 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 and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. NORTH I here as shown. 1 z6/ State License No. 2 -v/ -/2L.2/ Ind. Ins. Acct. No. REQUIRED Plumbing Permit on Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed °'ify infor ion sut itted '>Forrect and there are no other structures located on this property except