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1974, 09-25 Permit App: K5898 Residence, Renewal of K1981 County of Spokane, Washington Q BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 .)- APPLICATION FOR LAND USE OR STRUCTURE PERMIT' d GENERAL REQUIREMENTS PERMIT FEE 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 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. t APPLIC• NT FILL IN BE/LOW THIS LINE ; 4-7,-,2-c, p r/ Name of Owne /,ti ._ "_ .._ �/ " Addres ,r 4 -- _ a:-, " Phones 5? _. /� 7,:.2.' Architect / Address Phone Engineer Address Phone Contractor ?-.---/--21-e" -_" Address Phone Legal ,s9cri ion of"Property i e complete description from deed, tax receipt, etc.)p�dj""5i7`//- � `f� •Y /el J- - if ,t_ As L��%( ,, I 4 -7-44 .E,1-4-t - DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone '. — Size of Lot ? 0 / Y / _ f Sewage System const. - r f / / \ Fr., C Br., etc.) Stories Dimensions 3 7 )( •' �/ c7 ) S� /0 )( i- Total Sq. Ft j.r.- Valua n - Rooms Baths Basement `, J Foundation Const. �'tiv,C 2 4 Chimney Fireplace (Full, part, no (Kind) (Number Heat. System Type oofing Ext. Finish Int. Wall Finish Use of Bldg. ._ . _ ._i- No. of Units_Bedrooms (4..... ..., J LOT PLAN Draw sketch witii) showing: (1) property lines; (2) street or road locations; (3) location of existing and oposed buildings; (4) distance to property lines and ts; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. -`�f' NORTH �'EL-GCt State L' ense No. Ind. ns. Acct. No. Ji e 0 REQUIRED -� Plumbing Permit �`t m Heating Pe it '�---Y vs a"4 q Y ,l . Sewage Permit 0 Plans Received Plans C •eked Plans 'turned Plans Pick-. . Plans Mailed SOUTH I hereby certify information submitted is correct and there are no other s uctures located on this property except as shown- /77. finer 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 Your street address will be ,.c 2 /S 0 ��.r_i 20+ / The zone s _/ - ,x- Sewage Permit Number Issued Building Permit j r. 'T Receip 647 i Issued 912 2y Remarks Form 523 Bldg. Code