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1978, 05-03 Permit App: M6107 Garage County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT 30.�% GENERAL REQUIREMENTS PERMIT REQUIRF�. A land use or structure PERMIT FEE PERM or ater permit is required by County Resolution to erect a building or structure of aqy 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 BELOW1 � THIS LINE Wc ,C(e Name of Owner ? 4d Address i//O gE?'i�i �l`� Architect v � Oi / Phon _9-26- /, GI Address Engineer jam,, Phone Address =".0/4 J -KA '. Phone .` Contractor � ;L7LeAddress "rijr S L (11 Phone9.5.---- al Description Prope y (Give omplete descri ' n from deed t receipt, etc.) Parcel Number ,2..C1t 6, 2 QF U ()Vt t. Ise - /� ROADWAY R/W WIDTH --170 DESCRIPTION OF WORK: New Addition Remodel Size of Lot 51',530( /,?/-/..j/ rX 6. „ '9' �( /41/16 /1 C 4(' Moving Bldg. Zone �_ Fire Zone 1��" ` T 7 Sewage System Const.`� wr{sZ Stories I Dimensions .y x Fr., Conc., Brr./ etc`) Rooms Iry Total Sq. Ft. Valuation7Y C/C:` Baths Basement — Foundation Const. �'�� 21 -r 7)4X-_ (Full, part, none) �— Chimney Fireplace Heat. System Type oofi g '' r' ' ,� ,e (Kind) p (Number �i` " �f Ext. Finish Int. Wall Finish Use of Bldg. , kilit3 rz+etT 11 No. of Units►..Bedrooms 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 ib pproperty lines and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. t Ca \ i AState License No. 1 s Ind. Ins. Acct. No. ,,, v. RESIDENTIAL- .OMMERCIAL if REQI • D Plumbing Permit N ► \m Heating Permit 9 0)17- `►. "fir sA H Sewage Permit I •<.! Plans Received ` ' R4u Plans Checked 7 [ �' ' Plans Returned . esbc,i '11 Plans Picked Up q• Plans Mailed '30 TW 374//7 8 t I her ey ce tify informs' on s,bmitted 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. DO NOT WRITE BELOW THIS LINE Your street address will be ///i,/ e1 i/1.J, a , Sewage Permit Number Issueed The zone is �j ,y -- Building Permit M C�I(�� Receipt /10/ Issued Remarks Form 523 Bldg. Code