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1978, 02-10 Permit App: M4853 ResidenceCounty of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 aD,1 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. t 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. APPLICANT FILL IN BELOW THIS LINE 17 -'2 Name of Owner Architect 9 Engineer Contractor Address . r X2.0 y Address Address Address Legal Description of Property (Give complet scription fro sed, ax recei , etf.) Parcel Number -2 / ,� +r�G-- /4 Phone Phone Phone s3.2 y— ff3.? Phone r DESCRIPTION OF WORK: New �' Addition �U laZ A Size of Lot ��^^��, j' iy'Xzd'1 2d A 2(-,7it/,22r7L.g/'Total Stories Dimensions Sq 0A- c-' % e__- Remodel i Remodel Moving Sewage System Rooms Baths 1 (Ful IB pact none) ' Heat. System F/QC Type of,,Roofing Use of Bldg. .O_ Foundation Const Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. NORTH Ext. Finish i7 PLOT PLAN Bldg. Zone / Fire ,cZone sefi r FrnsConcRBr. . Ft � V nation OOV Chimney/BE Fireplace (Kind) (Numbs Int. Wall Finish �% L>' eV4 No. of Units -L Bedrooms property lines; (2) street or road locations; (3) location of existing and lines at:d streets; (5) dimensions of buildings; (6) location of sewage sys- ,/jj SOUTH as show I hereby ertify information sub _a/� Owner or Agent A LAND USE OR STRUCTURE PERMIT MUST BE ON T isAcorrect and there THIS IS TARE! MIT. 4f -L4' 60 - Your -Street address Sewage Permit Number Remarks are no other — Ind. Ins. A.ct. No. COMMERCIAL REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed t structures located onproperty except d4PS/ Date E PREMISES BEFORE CONSTRUCTION COMMENCES. 7 DO NOT WRITE BELOW THIS INE will be✓ / ` 3 V - Y d l� S , t� 8The zone is Issued Building Permit / !1 Receipt ea Y Issued Form 523 Bldg. Code f Ci/ >I,L .4(�y /r)/-.; A, L ,l . / I .-N 1 5416" 4 /2 • f--1 /. I (- _. 1 C L. _� ._.. , • 1. ,( / ' - 2,© • I / '/c." Si,) r r ( .'A tr'• ) , /r c L% (/; ,.) A / /' /,. / ms/ - 71l,',-1 1