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1974, 05-21 Permit App: K4661 MH County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 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. ,20UNTY 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. C 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 f 1 �`y�'L >/ l�—�/ L _Address e/ '"'S ;Xllfi: =s°77 l a/ Phone q,. `l 52 3�' Architect - «'yz.{� • Address 2 Phone Engineer Address Phone Contractor Address Phone Legal Descrip on of Property (Give comp) a description from deed, tax receipt, etc) ki /t7 " R, 27 - DESCRIPTION OF WORK: New f Addition '-- Remodel Moving •'— Bldg. Zone -I / Fire - Size of Lot '/ Al /.2- - Sewage System s < T oust. ""� - (Fr., Conc., Br., etc.) Stories.!_Dimension s _ /PA' 6 r1 ,Total Sq. Ft. �e�� Valuation 97-27"--97-27"--t.)' Rooms S Baths/, Basement Foundation Const. eB"yr'- .' ( ___.—_Chimney Fireplace ri (Full, part, none) , (Kind) (Number Heat. System/fit`-�J Type of Roofing /,3'7[1:V Ext. Finish Int. Wall Finish Use of Bldg. 7LC)'f No. of Units/Bedrooms PLOT PLAN Draw sketch with dig. ions showing: (1) property lines; (2) street or road locations; (3) location of existing and proposed buildings; (4) aistance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys- • tem and water supply lines. NORTH State License No. Ind. Ins. Acct. No. /7 ' REQUIRED 77 Plumbing Permit m Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify information sub itted is correct and there are no other structures located on this property except as shown. _-2 7 Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. ©� .30--0 DO NOT WRITE BELOW THIS LINE Tour street address will be /74/0 Ca _ � - �/ The zone is aL ' �'�� Sewage Permit Number Issued Building Permit __tal Receipt Issued ..5" :2/-2y Remarks 1 ��f�1+� Form 523 Bldg. Code ,. '..,t: . ' -(2, --,-/0„10-:lift 14-'Pee,y,e.,-i-,--.,- .) ,,,-. i }; , < . y ,,,.,(:.-,,,:,-.7,-;,,,,4;,,_ ,,r'� 7 w L. 4- ,`20/ 4 9 (7/ 4 9 k _. i ‘;,N, v i f A4111/A' . sn M',3, ,,,..2y.. - ----,it ,, l + ,�, P s A Rt i----------(r)i 1 1 , i L'1 ',,,:,,,,,4,),,,x,,,,,‘:',,';.,,,i,--,' ,, , , , i,..0. ,„ i ,,' . Qr 1 rc , 4s, 1 . i . i i I. / '.-• ''' '"\ ,.- -