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1976, 11-22 Permit App: L6280 Residence• BASIC # 3 JOB # 157 County 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 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 or dedications. APPLICANT FILL IN BELOW THIS LINE n Address P.0.1 421T Spokane, 99214 Phone 928-3076 Name of Owner Architect Address Phone Engineer Address sane Phone Same same Contractor Address Phone • • ill Legal Description of Property (Give complete description from deed, tax receipt, etc 1 Parcel # 55-543-0112 Oot # 12 Blk. 1 Forest Meadow DESCRIPTION OF WORK: New X Addition Size of Lot 104x87x59x159x166 68x24 (garage attached) Remodel Stories Dimensions Rooms _6L Baths 2 Basement Rill Foundation Const (Full, part, none) shake Heat. System gas Type of Roofing Use of Bldg. sing1 a res. Moving Bldg. Zone Firerone 3 Sewage System 7 - '7 const. (Fr., Conc20rO,p„jc.b0 Total Sq. Ft �fb Valuation V2V concrete Chimney (K al Fireplace 1�umber Ext. Finish plywood 1� Int. Wall Finish da$l No. of Units Bedrooms 3 1 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 RESIDENTIAL — COMMERCIAL attached SOUTH m a N 1 State License No. ri—ch—ar—c245cf Ind. Ins. Acct. No. 232-267 REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed I hereby certify information submitted is correct and there are no other structures ad—shown. -/ / Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. located on this property, except J/)-1-( DO NOT WRITE B THIS LINE Your street address will be / • - %-d rc6-e-sr— r` Sewage Permit Number Remarks Issued Building Permit o • The zone is J Receipt / Fn,,,. - 1-7 at PI) RC -1/61 ca A/sr ca dirl i. -.10X /q2.17 ?.Z7 —g076, C/ -1/5-e /c ot;4N7 PO 6A- 2, 10 t.411 44.- -4' 4- gi4s / -Or 7 j-0 -1-r7 Lor LI< f Fr /7.1/r4 dr;:q'fr' --,'----, . "P,"- ----, c• 1 ---„,_r„ ,.. ---C>, -..., ---- -/'-/- ., 4.) \ ,...„....- 4..1 ..,.. \ -.... '`,.. "..... %41 .S.: CY, - ,:"•.,..e C'sk e. 2.0