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1971, 03-12 Permit App: I3683 Residence County of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 J 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 Name of Owner ; .>c is. .A _ -/c •ddress ) : ,a r .� ted ../if one i L/-.5%5'42 Architect L.tX-i/1-0'"1-' Phone Engineer n Phone Contractor /i�, 'L',. 6,,t4-- Address 1 Z & 2. t E,�ttr eE',�11-2', ' Phone . /f 4/^569/ Le. al Description of Property (Give complete description from deed, tax receipt, etc.) nor 1.-•h J ci / ).:C't 7 L s VO / C,f the )4 0 e 1.fl -5-O / o f" k o`1` E -- S o 't h 3-0' o{ L,et �i+l cvn_4- (0 ct D ' r t S au SO ' Clf Ant 5- 8)0G k n?6 Un ; YEr.ri-ty DESCRIPTION OF WORK:New t'' Addition Remodel Moving Bldg.Zone _ Fire Zone Size of Lot 10 6 ''" ©I ' Sewage System 5 ., // /i' Sto es 1 ilz Const. Fi i9 Pt E. Dimensions 4/6 r/ X o2 Total Sq.Ft. Iv ti- Valuatio//g1) erre (Frame,concrete,brick,etc.) (� el e.-5 Baths 1—Basement Fan I Foundation Const. �/0 n Q r e I e. Chimney Fireplace ��++ (Full, part, none) ` I"(Kind) (Number) CT Heat. System AS F-14 Type of Roofing GOYY)f .. Ext. Finish Wo O( Int.Wall Finish DU wQ ll Use of Bldg. 11 . S 1. d e Y1 C No. of Ugits 1 Bedrooms -5 Garage or Carport Attached 'T0 Private Detatched N 0 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' State License No. /QE , R Q4301 Q790 4, Ino. Ins. Acct. No. 0 01 o -+ '� - REQUIRED ( � 4Plumbing Permit. - qM t`,/,.- , *C n+ Heating Permit ' ' ' ) `-` ../ © N Sewage Permit D -1 O `- Plans Received ,QPlans Checked O x Plans Returned II` O+ Plans Picked Up Plans Mailed /QR. &" ` SOUTH I hereby certify information submitted is correct and there are no other structures located his property except as shown. `Y /7/ OwneY or Agent (3 Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT W•ITE BELOW THIS LINE 1 / / Your street address will be — �� r? w.i.:�1 •e zone is c- "7-"' Sewage Permit Number Issued Building Permit IV Receipt ' `-) ssued Remarks 41/t aIllir i A LO- I— ,, t l . . 3it 2'/7 UUU Form 523 Bldg. Code e_, (C,