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1976, 06-06 Permit App: L4586 Residenceft r Cty of Spokane, WashIgton BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT j `l 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. NATER. 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 47235. 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 Higt*ay, clearance must be obtained from the County Engineer and/or State Highway Department. ,ACCESRY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. RESTR TIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the`land w�ich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications. APPLICANT FILL IN BELOW THIS LINE - r Name of Owner- - Address 2L4-7�c, i Architect Address Engineer Address Contractor _ Address Legal Description of Property (Give complete description from deed, tax receipt, etc.) Phone 471 / ` 22&) Phone Phone Phone DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zone _Z Fire Zone Size of Lot Sewage System - onst. __10e_11 yam-. Fr., Conc., Br., etc.) r% Stories/1Dimensions 12)(7 4,6 5 A 1dTotal Sq. FtZ_ Valuation Rooms _ Baths Basemen Foundation Const.. Chimney, Fireplace- (Full, ireplace-(Full, part, none) (Kind) (Number Heat. System Z `._'h. Type of Roofing C; -----w _ Ext. Finish Int. Wall Finish Use of Bldg. .e" - ���c-�7 No. of Units./- Bedrooms �-- PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; tem and water supply lines. State Lipense No. r Ino. Ins. Acct. No. as (3) location of existing and (6) location of sewage sys- NORTH RESIDENTIAL — COMMERCIAL REQUIRED Plumbing Permit CA m Heating Permit ' HSewage Permit t Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH J I hereby certify information submitted is correct and there are no other structures located on this Iproperty except Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. ti ..i�Your street address will be Swage Permit Number ;k Remarks Form 523 Bldg. Code DO NOT WRITE BELOW THIS LINE _ Ac /J The zone is � _ C - Issued Building Permit .11Vii;_ Receipt / f � % Issued IN pur�rau :_rolti !sem All rd z is 5 DC K/ l K. • Q) sl'oeulh /s iL.3f id C©IVC RIVe WA, IN