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1975, 06-06 Permit App: L0428 Residence County of Spokane. Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 00 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 G (� Name of Owner P� t&� t tI7 i9_, Address Pr—'6,31-,X &7 Phone u A 9,,�7 y3cT Architect Phone _Engineer 4' Phone Contractor jAddress Phone > Legal Description of„Property (G've complete desc iption prom ed, tax receipt, etc.) .-J JO / �° �ce i l5 5'9— o Ci o DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone Fire Zone Size of Lo ' O .A/se, System /C— Stories Const. I i h.i_' Dimensions m. i X yr Total Sq. Ft. /3 Valuation 7- si 4 (Fram4 crete,brick,etc.) ; .. i O?o7Xa1 52 i Rooms Baths�—Basement . . Fo i dation Const. �yt.�y 51 Chimney ' eplace / }—/� (Full, part, i•ne (Kind) (Number) Heat. System /`"A (� Type of Roofing Ext. Finish Int. Wall Finish Use of Bldg. : _�` t I �'�'��e1 `� 1 ;1.�M„ No. of Units Bedro s arage r Carpor ttached Private Detatched 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 pryeyty lines and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines t•—• 1 • State License No. 020? 3— 0/—.//37/ /! 1 T Ind. Ins. Acct. No. �✓ M /t \ 1� Ili 9%6 rel V\ 0a REQUIRED N. 1 MINPlumbing Permit ... : I0 am Heating Permit y M in ! a to H Sewage Permit 1 —4 Plans Received N L Plans Checked q a Plans Returned - 4 , /.....„2"1 :a Picked Up - \-"' V Plans Mailed SOUTH I hereby certify :`s+ormation su,mit ' correct and there are no other structures located on this property except AIMW�- as shown. l7I • ner or Agent + Date r A LAND USE OR STRUCTURE PERMIT MU T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. L fr DO NOT WRITE BELOW THIS LINE Your street address will be �- �f / (; ' / se zone is Sewage Permit Number Issued Building Permit `" " ' �.j s� ReceiptIssued Remarks 1 Form 523 Bldg. Code