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1971, 07-09 Permit App: I5000 Residence4116 County of Spokane. Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEEa,L 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 bt 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 IN BELOW THIS LINE o� Name of Owner lQ�QJA1' .UI 1' L� Address I , !a t : Phone - o Q� Architect / � r $ d' /l Phone k,,E 4-$7 22.Fngineer Phone Contractor Sir1'1e. Address — Phone "- Legal Description of yroperty (G}'ye complete de§prjiption from cleed, tax eceipt, etc.) 7`"A e npr+/00 1( �" Of Y /�.r eks7-- % 4/6 r 7- o F T v__r c,� 350. en - 2 - _of T;,Ac / z o t �P/' ©r7�-r.4, n)_ 4 -y s , //g ',�01 .z /3- 41 y -- 2 6 �/ DESCRIPTION OF WORK: New 1� Addition Remodel Size of Lot /0 X / tic T Const Dimensions ii- 2- ' a . (Frame, concrete, brick, etc.) Rooms_ Baths 2— Basement FIA -1/ Foundation Const /1 (Full, part, none) Heat. System "nnil Cr A S Type of Roofing C Y)1AOS S14 f11W7xt. Finish Use of Bldg. Ke. SiC(QhC,� dati6lw_ 2-fos•leA ,rklc_ PLOT PLAN Moving Bldg. Zone Sewage System notal Sq. Ft of/ As 0 M Concr'e, Garage or Carport Attached Priva Fire Zone -27 tories /%,o 3 Valuation 231, 50D -Q° Chimney &L. Fireplace _�— (Kind) ^ (Number) Tip Int. Wall Finish all y , j,4 % 1 No. of Units / Bedrooms _ to Detatched 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 Se.e- a ack . P/0 `f- P /a r SOUTH I hereb ertify information -bmitted is correct and there are no other stru as shown. Owner or Agent State License No. Z23 -p/— 7625 - Ind. Ins. Acct. No. /y,2106/ REQUIRED Plumbing Permit 4-"1.1.. r..Sr) /1 Heating Permit Si' t /M. 1L 'b ,1 Sewage Permit 2(1 k. Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed cs ure located on this property except A LAN ' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. Your street address will be Sewage Permit Number Issued Building Permi Remarks DO NOT WRITE BELOW THIS LINE e zone is e57444/Receipt ..5 - Form 523 Bldg. Code r \ s;Se %le./1/// /60/7 0-7-74 t � ( . 7 L - , T 7,7e LA-/ 50.4 ?S +e.t. `" 016 1 t- 1 c. '" o ; u n r ry ech. n po k it% A •R„,___%-_,2:11040 1%. Cu.r14 L z. R 6 4, Lor L,ae. 4 eel �i 04‘41 t /bee) f T 1 11 O Plan 1091 3 4cti Room RAPcLeh eclat EL«y h zo' SePr/c %RhkAs* `goo GAL /go L,►'f-f Dr A ik aY 8`.444V Cte.1< Spok4ne. 1 5cAte, 1 no 24/ 1410 7,..„,koeteto,