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1974, 02-22 Permit App: K3702 MH County of Spokane. Washington BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 9920 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE /4 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 j�P ga0� Name of Owner .Ly # moi 4 .-4d.dii,/' •ddress e. 7 � '�i fD /�'-C.C-ae.Phone G1'96. " 56Q9/ Architect P mne Engineer p Phone Contractor '„ • Address SOS--2-xAf Phone G-rn9 Legal Description if Property (Give complete description from deed, tax receipt, etc.) (-1.;.i),TjE --27,9 . -...aYT3/ - 3a0a A--2,4e.___ Of DESCRIPTION OF WORK:New y,/ Addition /Remod 1 Moving Bldg.Zone / Fire Zone '3 Size of Lot 4. D / X /& 7 1 (/v f or-ec ' ewage Syste Stories 0-71--Q-___, Con Dimensions /4=2 }C [e r5 Total Sq.Ft. 6 Valuation, ..5-7©O G ram concrete,brick,etc.) i s Baths Basement Foundation Const. --r'-8-� - - Chimney9-)400 Fireplace-21-.0_ (Full, ireplace-- 1-.0 -- (Full, part, none) (Kind) (Number) Heat. System Type of Roofingi .0-X Ext. Finish -_2L Int.Wall Finish --#1.-e-e - Use of Bldg... .d. J -/24--7.---1 Q- ZA,'' ° No.of Units_i___Bedrooms PLOT PLAN raw 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. q/C)v State nd. In- Acct. No. , vG \ In-- , _, _ (14, r Wte1/4,C) Acct. 7a �5.. REQUIRED (lam 1 Plumbing Permit C1; CC , - Heating Permit ) Sewage Permit -` r <� Plans Received / CS Plans Checked Plans Returned Plans Picked Up Plans Mailed ___ ,:- -- t- x„..,71--- I hereby certify info ��:tion submitted is co rect and there are no other structures located on this property except assh .1 -0 -.2.2 - 7 • .•r or Ager 1Date A LAND USE OR STRUCTUR PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. G- TitC444 g DO NOT WRITE BELOW THIS,LINE Your street address will be Iii r� -�- re zone is Sewage Permit Number red Building Permit - '762 Receipt ::�1 L Issued --D-C- Remarks Form 523 Bldg. Code