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1972, 03-06 Permit App: J2069 Residence 4110 .__. , . al P • County of Spokane. Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE a/l . A use r rmit te1uired ty EndlTerliosscyucgeslnerect building structure orr alter any buldingorstructurealreadyereted, ortohanalanduse. Constructionmust conform with h Dokane County Building Code and Zoning Ordinance. Construction is subject to inspection. ;TER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs le surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. 'SWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. T-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at !ast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required. "ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress id egress. IUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be rformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. IVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State ghway, clearance must be obtained from the County Engineer and/or State Highway Department. 'CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. STRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land ich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications. < APPLICANT FILL IN BELOW THIS LINE _I .:_J.,..�_ ,.-0� me of Owner i JF C I(.-L lA IU l� ' ' phpne 6 3 Address Jr� 's ` ,�._r.� A thitect Phone Engineer Phone (tractor , c4/14� Address Phone ;al Description oT Property (Give complete description from deed, tax receipt, etc. i.r . ±t" 0 `�--4'4e—//c).3_ LOT 3 46Loc, t� �t I cvlu£ics)TY Plr-i�°C.. Vci.. f ESCRIPTION OF WORK:New f Addition Remodel MovingBldg.Zone_ lire Zone 3 • tie of Lot 5w K /56/ Sewage Systema 1 C l loll r /L or/les Dnst. F,',' �� Dimensions �./ r x/g 1 Total Sq. Ft. c1 b Valuations r��d p7i `� rame,concrete,brick,etc.) Dor" 6 Baths_L__Basement Rai— Foundation Const. Chimney5R(C(e- Fireplace (Full, part, none) 0 (Kind) ( Ir^ (Nugiber) eat. System �( C T3 a of Roofing `� 'i 1 d - j/(� SIPMC) .71 7 tLIL rlJ Ext. Finish / ©�N� Int. Wall Finish rack �e of Bldg. / „qt(A,1./,�¢ r i 0�ltiC/r.,e No. of Units Bedrooms arage or Carport Attached Private Detatched(gee i)7:3- PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys- m and water supply lines. NORTH State License No. ,tt3 of 26/ ( O (i�' Ind. Ins. Acct. No. - \ -,1 II0 REQUIRED `O-------- ------------- 1:141"------k. —0 Plumbing Permit v Plans Received Permit SewageHeating Permit y —10 - i el ‘1.4 -- Plans Checked N. Qa Plans Returned *-) 4b Plans Picked Up Plans Mailed SOUTH I I hereby certify informat�,<bmit >is co �.ct and there are no other structures located on this property except shown. 1/ Owner or Agent • Date 1 LAND U E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. 'HIS IS NOT A PERMIT. or,,,,, 2,1,tei4,,,ki DO NOT WRITE BELOW THIS LINE sur street address will be_241, el /, 04.--e---)41/1-1 ....—d =% / mr wage The zone i g Permit Number Issued Building Permit Receipt 8.. O Issued marks 01;() t arm 523 Bldg. Code