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1976, 10-22 Permit App: L5929 Residence , ' APPROVED AS NOTED Spokane bounty Bldg. Code De, " a 3 --D.-5- '-i� Date �- _, C • fy of Spokane, Washington b % ►.;�jliiri '�-• !i PARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATI • FOR LAND USE OR STRUCTURE PERMIT c�a GENERAL REQUIRE NTS PERMIT FEE .. '$ ,- PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of 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 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 enfo ce covenants or dedications. APPLICANT FILL IN BELOW THIS LINE 1�'j-le-ot.aleit.) ' g 03? Name of Owner '171...A.1. in C( 70 UL k/y Address /41.26 G-1.2T/ Phone a6,-- CX.�,0/ Architect Address Phone Engineer Address Phone Contractor NA r e__ Address ` Phone Legal Descri�pt'on of Prop rty (Giv complete description from deed, to receipt, etc.) Parte/ R 35-41 G./ /o' r e . -5/r o 1� I f� ( V—fu �( t.----- DESCRIPTION OF WORK: New / l\ Addition Remodel Moving Bldg. Zone —� FirelZone Size of Lot �( Sewage System ti`y - he t! � (Fr., C c., Br., etc.) � Stories.Dimensions '��x / 6 (x V Total Sq. Ft. 3�a Valuation Rooms k.Baths Basement Foundation Const.-� — Chimney (Kind) Fireplac /m -I I part, no ,g/ _ _ Heat. System Type of Roofing AC--QIP Ext. Finish JLt,G Int. Wall Finish.SI • Use of Bldg. c.. - 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 property lines and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. 5 a(ii —N RESIDENTIAL—COMMERCIAL State License No. 64.10 e-V / �/Q�Ja ^ Ino. Ins. Acct. No. / . IN4 REQUIRED C Plumbing Permit ' /� No Z Heating Permit Sewage Permit © Plans Received C �� _ J \ Plans Checked 1 rem �� Plans Returned w e t�T1`' Plans Picked Up t''.---1 c,rt� �\ Plans Mailed (ti 1 �—" (nil0 aspshownI hereby certify information submitted . correct and there are no oth r structures located on this property except . �3 Owner or ent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. C DO NOT WRITE BELOW THIS LINE Your street address will be / 4/7C-1 l®) r The zone is Sewage Permit Number Issued Building Permit i '',:,'',,' Receipt 3 7, 5 ued Remarks •M5 , -AD tp_ „f,- bap Form 523 Bldg. Code