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1978, 09-21 Permit App: N0678 Residence Cour `y of Spokane, Washinr-'on BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 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. 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 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 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 LINE 5 p,5KA,14E, 9g2.07 Name of Owner 1401—)1K E-- TEIP(Z1SE.S Address g.. T" Z , )( 1_ISA Phone_q2.8— 7512 Architect . - AddressPhone ___ Engineer Address Phone Contractor HO Ly,it -t\i -rF t j c Address KT Z- !3 Q)( 15 fs. 7 12.?-74;7> 7,' hone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 23.s4'� -' 1,57 J- L a'—r / . i/--0 T ► 1 a O Li " ' 11 i DESCRIPTION OF WORK: New X _ Addition. Remodel Moving, Bldg. Zone / Fire Zone, 3 Size of,�LL�o�jt _ /00 ' X 1 3 -- Sewage System SE EP-1-/C.,- Const.. p�L4 1 1 ) Storiea.L,L- Dimensions 2 21 1C g.Lii ;;c 22'A lOi 4' 2.2X 2.2Total so B Sq. Ft. Valuation_Fs4/OQC? Rooms ao Baths_.— Basement P41 'T Foundation Const. r.�N© icRIc-T .. Chimney)lk/>1450MF{FYireplace t 1N�ky Saj (Full, part, none) (Kind) ( umber r Heat. System el--EC-1- rA,iype of Roofing G011.03ASETION Ext. Finish T-111 Int. Wall Finish MYQUAL,L_.. Use of Bldg. .gzrs 11 ' dJC . —cAu ' — MI,, P G I�S - No. of Units Bedrooms 3 ROADWAY R/W WIDTH m-f)1 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. \ Iao'P/L- OM— a M Fit-P" . rInd. Ins. Acct. No. 469 11 R3ET TIA - COMMERCIAL \ ` . -N REQUIRED Q 00 LI) Plumbing Permit �\ m m Heating Permit mo \ - vi Sewage Permit —' t� PROPo5ri 371 Rx51DENcE,/ / Plans Received / jji Plans Checked Plans Returned X00 JP/L- Plans Picked Up Plans Mailed /67-14 AU E_ G 2/7g rav1 i"2 SOUTH `'" � I hereby certify information submitted 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 NOTA PERIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE ON MAP 97 /'75' DO NOT WRITE BELOW THIS LINE ( A6RL-- IGIlc AL Your street address will be r._ 46 , ! f\j t6--n-} v e zone is u� Sewage Permit Number Issued_ Building Permit —0 Receipt IRO9J__Issued Remarks Form 523 Bldg. Code