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1977, 07-07 Permit App: M2685 MH l County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 raj APPLICATION FOR LAND USE OR STRUCTURE PERMIT g o a 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 ingres and egress. COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. MOVG OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State Hig ay, clearance must be obtained from the County Engineer and/or State Highway Department. ACC ORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. RES ICTIVE 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. PPLICANT FILL IN BELOW THIS LINE .9,9,-az i Yom. / .( _ 1 %,_. Z -- 'x'..2,5 Name of Owner �..�.�... Address _.. Phone Architect el 1 Address - .... r(7.7.- Phone Engineer Address Phone Contractor Address ` Phone / Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 3�5 9/y - O?O / 6AJARO' Wi 'Xi ^_a 9, 11.E a. ,) -tL ,' h 4. , vs".- DESCRIPTION OF WORK: New frAddition Remodel Moving Bld Zone / Fire Zone Size of Lot _6'0 k -3,921-/ Sewage System ---� onst. iil I `/Oi+ G �Fr., Con Br., .) d d Stories Dimensions /L/ )( b 0 ota Sq. Ft. V luati © —� Rooms 3' Baths i Basement.101-11._ Foundation Const. V - - < T3 Chimney Fir place uil, part, nOflel , -� (Kind) (Nu er Heat. System 1Aw/. . • /Typef of- Roofing 'V1Ad .I Ext. Finis,\M--4 ♦ Int. Wall Finish V Use of Bldg. A a i' ✓`' GL i ',�. No. of Units_..Bedrooms 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 State License No. Ind. Ins. Acct. No. RESIDENTIAL—COMMERCIAL ?_12-004- REQUIRED Plumbing Permit ni17L/Q-'1 ���s /t/—/ nt Heating Permit ni ui in Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH ' I hereby certify information submitted is correct and there are no other structures located on this property except as shown. .„ r 4"-:„._,A__' 7/7/ 7 J Owner'or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE / 90 U..// �4 ' Your street address will be (�cf The zone is Sewage Permit Number Issued Buil 4 g Permit • Receipt r -5 ssued Remarks ()1, AA,W/rk; 4C/1 a`.- TA-k ,-'vA J"" 4 ,rpt`-Ar`ic'e;Ci ,,t. 7-21,%L' '/j'„5-, ex) A"k i 4 yi:jt) .1- eA %1",:/1. it AL, ,-If,40 -,7-t) P1/V iz/t)6 4 ear) Form 523 Bldg. Code . . - I , ( ' ( I , . - \\\ t. 1 N"\ # , ' • \.t..‘ csil9 0 ...... , 141 01. . • ) ) r II t. i 41 !.- kp rl. . ..., ...., N.,,.. r I ,.,,,_. ,..„,,„•-•I ...., dr e, ge C .6Z7te..71 ') .1 9 24 • 3:-0-4, i . c I , .. ,c C I