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1978, 05-23 Permit App: M6400 Remodel 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 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 enforce covenants or dedications. APPLICANT FILL IN BELOW THIS LINE ,c �r �,4_��:zoG� Name of Owner •`Rg,©FC - 1- 1-14 Address =-//JJ ' Z;t'�' Phone .r-% 4P';`"' 7 Architect Address Phone Engineer Address Phone Contractor Address Phone Legal Description of Property (Give complete description from deed, tax receipt, etc ,Parcel Number a496.4/c2 /PB' Lor • DESCRIPTION OF WORK: New �— Addition _ Remodel A Moving Bidg.Zone —/ Fire one Size of Lot / )C /3 O Sewage System v L ponst`<- r Fr., Conc., Br., etc.) Stories % Dimensions /—,4/IX/E ri tact,4 i7 D h. Total Sq. Ft. .../.5A7 Valuation 7 00 Rooms _L Baths h Basement Foundation Const - - . •- - -'- - himney NA Fireplace ,[s > ��FU(I, part, noney p �i (Kind) (Num�,/,er „/!,;� Heat. System el/t,-d�f.t, 41:Type of Roofing 4A-rat Ext. Finish S ...d." la Int. Wall Finish ;‘„).---,1-1 Y/..dl'-c� Use of Bldg. y // No. of UnitsBedrooms 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. Jl-P/214,61-Gt.eL Ind. Ins. Acct. No. 04-1/c 04,4 art l RESIDENTIA ` COMMERCIAL � , > REQUIRED Plumbing Permit . .r Vy� �✓ ,� ¢�yLCr in Heating Permit to / / Sewage Permit '� �'`7�`� /• �` /C? -i Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify nformation submitted : correct and there are no other structures located on this property except as shown. ;: =p Agent Da e A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE d� Your street address will be Ft, /1/1-9 ri The zone is a 41.1_4 ' Sewage Permit Number Issued Building Permit Receipt�O g Issued Remarks Form 523 Bldg. Code