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1977, 04-04 Permit App: M0460 Residence Ormity Spokane.of S okaneWash`s ton 9 BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 TJ APPLICAT ON FOR LAND USE OR STRUCTURE PERMIT / GENERAL REQUIRE ENTS PERMIT FEET PERMIT REQUIRED. A land use or st ucture permit is required by County Resolution to erect a building or structure of any kind or alter any building or s ructure already erected, or to change a land use. Construction must conform with the Spokane County Building Code and oning Ordinance. Construction is subject to inspection. WATER. Water supply must be appro d by the County and State Health Departments. Where work on water connections disturbs the surface, shoulders or ditches f County Roads, permission must be obtained from the County Engineer's Office. SEWAGE SYSTEM. Permits are require in all cases by County Resolutions Nos. 45-133 and 47.235. SET-BACK FROM PROPERTY LINES. In m st zones and under most circumstances, a set-back from the front property line, of at least 25' is required, a 5' side y rd, 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 righ -of-way may not be performed until staked by County Road Department and work must be performed in accordance with stake . 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 BELOW THIS LINE -rp� /ii 99'9- __/� Name of Owner T®11 11 4h m e.N///i0 Address /3 zJZ9 - Phone �92 `._Architect Address Phone , Engineer Address Phone Contractor SP 91'Y1 Address G "Z7 -�� 'ane Mir. Legal Description of Property,(,Give complete description from deed, tax receipt, etc.) �_.�/� _ dr ,E62 rill i 2__n.i- -2-41.5 e.3 -- c) o • (�C f, DESCRIPTION OF WOW New x Addition Remodel Moving Bldg. Zone// r ( Fire Zone 3 Size of Lot / HC..ee... Sewage System Sp P-T/c, Const 1---7-t,"9-/-77 / 1Fr., on Br., etc.) Stories / Dimensions CP 0 )c 0 Total Sq. Ft..421©'3 Valuation '3 f700 Rooms 9 Baths 2 Basement (.A.I! Foundation Const. £ i'/c-ee i �—Chimney iel?cie Fireplace 2_. (Full, part, none (Kind) (Number Heat. System G 4-s Type of Roofing 14�� Ext. Finish 77—// Int. Wall Finish c'he�/ k-pc-� Use of Bldg. N elf (2.05:-, , Arm 0 /4-I'''►9-&e- No. of Units_Bedrooms S 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 RESIDENTIAL —COMMERCIAL State ice o. Ind. In . Acct. o. `T i REQUIRED I Plumbing Permit / / m Heating Permit rn _ to , j `� Q yl Sewage Permit —i n l l_ ,I Plans Received Plans Checked (0 Plans Returned Plans Picked Up �`�IT1,/ Plans Mailed iy 4 SOUTH I i' =by c•rtify information nssubmitted is correct and there are no other structures /loc/ated on this property except / , Owner or Agent Date A LAND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS I OT A P . .4-- DO NOT WRITE�B,E/LOWTHIS LINE Your street address will be /c 3-7 i (G/ t--�l - C1`Z t The zone is Sewage Permit Number Issued Building Permit 0 7(o d Receipte4L f Issued Remarks Form 523 Bldg. Code