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1977, 04-06 Permit App: M1724 Residence 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. COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work,nuuar he performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. MOy�G OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State —Wfghway, 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 <72 m P Nay' Address /et 4 / Phone 772 Architect Address /71177 f .Ii L 4 k F_ �� Phone Engineer Address / �� 3' Phone Contractor e/-77 Address Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Gvr / /��« re:/s,<ozeA /1 3 y /�t.¢&s pvnr/ -31c 2y5/ 3 -- G 6 / DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zon - Size of Lot /J.-6 X Sewage System rr ponst. �` '9/n c -� Fr., Conc., Br., etc.) o Siies im sions -�G x �© Total Sq. Ft. Valuation nve, Rooms /O Baths . Basement f cL// Foundation Const. Oa ^/C Cr_ Chimney - t 'Fireplace (-2 (Full, part, none) (Kind) (Number Heat. System F.,zti, Type of Roofing iThe'qK E Ext. Finish Z?-;v 0 Int. Wall Finish Liy 4g'9// Use of Bldg. /17/0,22.F Gt.// /}///C/j/f 4 y f 2 7 flNo. 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 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. RESIDENTIAL—COMMERCIAL REQUIRED Plumbing Permit 7Z rw Heating Permit ,fir//>4%//�//1v neTT� i/G tDn age l y, ',�'ivf/ �+ Sew a Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify nation su itted is correct and there are no other structures located on this property except as shown. / `% 2% Owner or Agent 1 Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. 6ivtiQDO NOT WRITE BELOW THIS LINE ` Your street address will be � y M' Y /�.-%�� co,C� /'/:��t! �✓4� '� �� ,e zone iW� iluiL`/✓��.�" Sewage Permit Number Issued Building Permit Receipt Issued P" Remarks Form 523 Bldg. Code . . I---------/ 05 1 Lk' - - b A. Id w or) • • ,5,e /a a / /:) T p,44 - / I 9 7