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1974, 04-10 Permit App: K4186 Residence County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 o0 ::citAPPLICATION 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. p R CEA. .':`-:.. 1/`c /Ile 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 - Gid _ tI,/-z el Name of Owner G'._./ A ' ... 1. f , Address - ' i - ._ . ." Phone '1,..2 6- 6'5'5 Architect Address Phone Engineer /� Address i/, Phone Contractor .0()12 4-1 e,// C 71-1-Cl vw'f.-e-'-4. Address d •f9 /--' y c am,, j,``e Q i�'~ Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.)),��t.'. c ./tVA4t• .ice Y- .b, 5,-5.,5 " i4,,..,v1 /'CSri.4- - e�i. , s4i PT :,ti N. ,c.Ai. X=c:. A `1 '-:.1 Yir''• /tiff t:.i,Al • Tlei. 5• PA, W/Til ,C-- . &4/. rt% fpfi tiA/ 5, .C.N. VA, t V 1'J 7-,4,e- e-'4./.i3. ;"H, .'S. 7I Pr +i 4l4 f iv. .s, AJV. it. �kit.1v. �Nt v{': p'A, . 4,i,.4,i,. ,r7'. -5 ,...A• L').� ,R Vii '`:'rife` t . -f -_ • 4i / - DESCRIPTION OF WORK: New X Addition Remodel Moving Bld . Zone__ — Fire one ,S Size of Lot CY•:"5' S A //.5 Sewage System -0941 4'� fy�onst.-f1 'SL-g' 1 ,r � / (Fr., Conc., Br., etc.) Stories_LDimensions ,v �" 4 1/ — "` ' 'X '/ _ /�Total Sq. Ft.,/‘,--'-t Valuation 'K 641O Rooms L` Baths t Basement ('�- Foundation Const. `'-,e' >i _b- Chimney 41 fireplace (Full, part, none /f (Kind) jk "� (Num -? Heat. System tPP,CC: h'4i)vktiiype of Roofing -v�� Ext. Finish l{111.Q t�at� Int. Wall Finish �•' , 4.. M. Use of Bid --- a-t-c-;---1-- �/ No. of Units _Bedrooms •• PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations) .) ;,(36) (3 _location of misting and proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildin ., 6) location of sewage sys- tem and water supply lines. ea NORTH ' State License No. � t-��-fes/� /d'�' k Ind. Ins. Act. No. (((tii- 4- / &T og Fl .,4 R ^ I • ED 1 Plumbing Permit m Heating Permit m a cm N Sewage Permit -4 I -i I Plans Received ,�k-s,aRA/Ck ! ',2.5_____ . --- Plans Checked Ii Plans Returned I Plans Picked Up 4n Plans Mailed �_ rH/R 0 AV'. SOUTH I_hgreby certify informati submitted is correct and there are no other structures located on this property except (00'- as show : Owner Agen 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 7t' Your street address will be /3!4 . . ._1-,Lw( . The zone is rC•i.-at.x ---i. L ._- Sewage Permit Number IssuedBuilding Perm W , Receipt 7ct 7t- Issued Remarks \ _.,(tio . or [it , Form 523 Bldg. Code