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1972, 08-22 Permit App: J4124 Residence,F County of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT .� GENERAL REQUIREMENTS PERMIT FEE cc-/ PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any t\ kind or alter any building or structure already erected, or to change a land use. Construction mast 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 laud which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications. APPLICANT FILL IN BELOW THIS LINE i Name of owner _ _ "a r 'd'' Amr ' ia. ddress Phone/Vee 7—ao 2.1 Architect Phone Engineer Phone Contractor Address Phone Lege Descripti n of Property (Give complete descriptiop from deed, tax receipt, etc.) . �f DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone ( Fire Zone 3 Size of Lot -"10 Cr. /- ( Sewage System vC'T' Stories Const. /T1- tele Dimensions 4-•'' Total Sq.Ft. "© fir 47 Valuation l�'E .00 (Frame,concrete,brick,etc.) Rooms Baths f Basement -C./��Foundation Const. Chimney A-/0 Fireplace /VCD (Full, part, none) (Kind) (Number) Heat. System 677 Type of Roofing C/+2� Ext. Finish / Int. Wall Finish obllf c '_ g Use of Bldg. > No. of Units Bedrooms Garage or Carport Attached Private Detatched 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. Ind. Ins. Acct. No. LREQUIREDn�� P41/ � /7��` Plumbing Permit ���� z}J m Heating Permit Sewage Permit M4( Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certi information submitted is correct and there are no other structures located on this property except as shown. Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. 0 /DO NOT WRITE BELOW THIS LINE Your street address will be 0 1 _dr / O .e zone is .mac Sewage Permit Number Issued Building Permit IMF. ••ceipt / �. ssued Remarks / Form 523 Bldg, Code • Z/97-1•1k,:,- : ' ' ' ' ( - -,------ • i 'T \; AL...--- .......,-,T ..___T............_ ZCZ.y• I ' . 1 . If f . ,. , ! ' , 1 ! . , % •.' 14 (,) . . I , I = i I 1 , . ,szl-pr,e 773-ith( •--,--- i k p V) i 1 r----- , • , \ . I 1 ' N4 kJ i - f i 1 -2X /(_.7-4-0 k i ,:ez-fn• ir r: .. f , N) '/-fi Ai• _, • ' • /' / -) 7 1 . • 1=--------.- cb p 1 JeViA/Z 4 L, 1 HEALTH DIST. 1. ./. JUL 24 1972 . — , 1 41V. HEALTH 1 F. A. APPROVAL ONLY JO /d( SPO. CO. HEALTH DIST. t-y 0-7- 1:2/_._fi AI: 2 ,c l / 0{>C4c- 0 7- 7 ,,p,e_K....s— te/Aii VA"A.....,..7' r .._5-,--/- /),,,,./Z.=' e' 'e)<-/,A/