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1972, 03-27 Permit App: J2288 Residence APPROVED AS NOTED , Spokane County Stag. Code Dept. I Date �-- • my of Spokane, Washington by 1t*;.>„ii.:..:,• . DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT �y Q GENERALREQU IREMENTS PERMIT FEE 0-0 PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7 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 byvCo by County tRoRoad doDepartmenteant and work must be Performed in accordance with stakes. Points of ingress and egress must be app 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 Q Name of Owner 1i �_i ,./(A.."...„ ddress l �U J 7` Phone / Architect_ Phone__4 EngineerPhone _____.__-�.-- Contractor ..5'Q'�.1 Address Phone— � AV ��`�-t�%.� �.� 1 Leg 1 �1essc}iption of Property (Give complete description from deed,deedtax receipt, etc ) q-1,r,,,, - `,l y” --rte_l—� P-o2 ��lT� -2 O / , >9--C/ � i`'_ . Bldg.Zone—F--Fire Zone DESCRIPTION OF WORK:New X Addition Remodel Moving f`� Stories Size of Lot li9�j� Sewage System — �� . o� �'� )( / Total Sq.Ft. Valuation Const. ' '--,1.4.'"1-1 Dimensions �j�J� (Frame,concrete,brick,etc.) xI ®B Ch;mne�z` --Fireplace Rooms Baths Basement none)"Gl Foundation Const. (Kind) (ice be�, (Full, part, .,��� #-t l' Heat. System�4 - A - - Type of 'oofing 5-44a-e-0Ext. Finishes Int.Wall Finish / / No. of Units Bedrooms ,,3 Use of Bldg. A �- ��"� - -- - ������ Private or Carport port Attached 6111-1-0-7-t" rivate Detatched PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) locationn ffn of existingsand proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; ( ) tem and water supply lines. State License No. NORTH Ind. Ins. Acct. No. REQUIRED Plumbing Permit CI �`S�r'� '�� Permit s_5'494- .S--, ' on Heating muo D Sewage Permit_z •n .] -• Plans Received Plans Checked --- Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify information submitted is orrect and there are no other structures located on this property except as shown. 4 Owner or Agent/ Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. ,,.e DO NOT WRITE BELOW THISa UNE Your street address will be /© _. --._. --. C,s� The zone is — _ Sewage Permit Number Issued Building Per, i Receipt lii ssued Remarks !tf 2 1' Form 523 Bldg. Code I 50 33" 900 GA LLCN TANK DRAIN FIELD t 71` z4' 100' 3