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1978, 09-14 Permit App: M0631 Storage Bldg T-------- Coup- ' of Spokane, SIV ashinw on BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 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. Con- struction must have inspections. 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 is required. See current Spokane County Zoning Ordinance for all required set-backs. 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 performea 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 building(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. /s S APPLICANT FILL IN BELOW THIS LINE Name of Owner Address LLO ___e. Phone ..4,--hi"55-4" Architect . _ Address _ Phone ___ Engineer_ Address Phone Contractor .0..4.L' -� Address Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number_- ___ __ 2 iS',V.. -- -i O.)-. __ — r. - 6 I!1 T/cAC: ' f T9L1' GTPP®Rrr1cv/T`j (c, // 1/ i - :._3.1.5-.4' -�- . /9, dY!�.•( i DESCRIPTION OF WORK: New Addition.._ Remodel ov6j Bldg. Zon- .__Z___ Fire on 3 Size of Lot el X s. 8-'(-) Sewage System /VA Const. '/ / (Fr., Conc., •Br., etc.I Stories Dimensions .4 t 44 X 71t• Total Sq. Ft./1k1.7 ° Valuation 0 Rooms /VA Baths/VA Basement /V/+. Foundation Const. °ehimney-_NA— Fireplace (Full, part, none) ,� (Kind) ( umber • Heat. System ,, Type of Roofing , ,_ I Ext. Finish OttLitp v//4AGd .Int. Wall Finish i ___ Use of Bldg. ' :e_q, i (L .qD.: ' /�Ar _._ No. of Units Bedrooms ROADWAY R/W WIDTH / 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. 0 41 NORTH State License No. T. AV4 Ind. Ins. Acct. No. N `' iti - COMMERCIAL i`" REQUIRED O r; Plumbing Permit * in IN A n+ Heating Permit m tel\ to % Xs Sewage Permit. FIs/ -I a , `�D / Plans Received *`��` fRDPAW) Plans Checked QU/ gG- Plans Returned ` Plans Picked Up Plans Mailed SOUTH i I hereby certify information submitted is correct and there are no other structures located on this property except as shown. I'I Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE DO NOT WRITE BELOW THIS LINE (03 ' /00 171 Your street address trill be / -'P ' ��/��� . F rte zone is � / it Sewage Permit Number Issued _ Building Permiteceipt...6Z Issued Remarks v I Form 523 Bldq. Code THIS AREA FOR USE BY APPLICANT FOR LEGAL TAX SEGREGATION APPLICATION FORM DESCRIPTIONS AND DRAWINGS. USE REVERSE SIDE IF NEEDED. (Applicable to the division of one or more parcels of real property into two or more parcels under different ownerships, also applies to aggregation of parcels.) f NAME er ADDRESS //t e_ g PHONE NUMBER 924'� � .L DATE 9-- DELINQUENT e21 ` L - //6 TAXES PARCEL NO(S) / _ //0/O I. Enter legal descriptions of all portions to be segregated. Also include legal description of portions remaining (use supplemental sheet if needed). II. Make drawing of entire property. Indicate approximate dimensions of all property lines. Indicate on which portions of property any buildings should remain. If a copy of a survey is available, please attach to this form. III. This application is to be completed in its entirety before processing. NOTE: The approval of this application by the County Assessor or his appointee shall not be construed as authorizing the division of lands for the purposes of sale or subdivision in violation of RCW 58.17 (Plat and Subdivision Act). The taxpayer is hereby advised that no segregation will take place until this form is completed. Applicant Signature