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1979, 02-20 Permit App: N2254 Front EntryCour I ®f ' Sp®kaine® Washin � `yin BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 APPLICATION FOR LAN® USE OR STRUCTURE PERMIT � OO 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. Con- struction must have inspections. 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 is required. See current Spokane County Zoning Ordinance for all required set -backs. 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 BTJILDINGS. 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 building (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 L114E ��'� 4gn37 U�w4yU Name of Owner—M.F 1 IA A/ BFs� DF Address F-. 1 ; Io G q_:EY ME Phone gZX::F�1 Architect . - Address__ Phone Address _ Phone Engineer_ l�InL —r-1.�� AIPhone Contractor MV, - VIN Fi S _�� Address. F 1� Legal Description of Property yrive complete description from deed, tax receipt, et 1 Parcel Number -- /3,/,---% n/�, , -i � Ce / 0 ,11, � - i �. Z. _�' i /2 D , / . 3 S 7�/71g DESCRIPTION OF WORK: New__ Addition _� Remodel Moving BIdZone . Fire Zone� Sewage System SF'�'ilG Const. � Size of Lot _ �'�-$ X—�— (Fr., Con, Br., etc;) CI 1 Y 1 3 1 Total Sq. Ft. �% Valuation _Il�Do'%_ Stories Dimensions --�—� ' -AC — Rooms� Baths_ Basement ►4o N� Foundation Const. I�fGP.E�i� Chimney (� Fireplac l umber (Full, part, none) Heat. System a-- Type of Roofing =Mr0','tX0U Ext. Finish �' f I % Int. Wall Finish Use of Bldg. A,0Dt:0VIA Af= 1; P-0 A1-tI' y 1-0 Ey /�-1 of Units Bedrooms ROADWAY R/W WI 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. State License No. k NORTH LcA rr-rRy - 37,� Fz CZ (A SOUTH Ind. Ins. Acct. No. I ENT L - COMMERCIAL REry9UIRED Plumbing Permit M Heating Permit _ a rn Sewage Permit _ -4 Plans Received _ Plans Checked — Plans Returned _ Plans Picked Up. Plans Mailed I hereby Qfy jformat3)t subm}tted is correct and there are no other structures located on this property except as s —�— Owner or Agent Date TA LAND USE OR STRUTURE PERMIT MUST BE ON THE PREMISES BEFORE HIS S NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLETRUCTION COMMENCES. DO NOT WRITE BELOW THIS LINE r��� �pnn — r e zone is &.�7_�yJs=_IA�'� Your street address will be 1—�-r�'� Sewage Permit Number Issued r_� Building PermitX�% Receipt ~%3—?=SIssued Remarks �1-4 C6 / %