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1977, 06-17 Permit App: M1936 Addition County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMITc�, - GENERAL REQUIREMENTS PERMIT FEE 43 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 mast 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 2,&/.6, Name of Owner_(A/ ,i. . f. a-/...:4-1.41 Address ./..._ __3--2j / . & Phone F.2- 1-96 fa Architect Address Phone Engineer Address Phone Contractor "0"-e.-..-"" Address .O3 Phone Legal Descripti of Property ( ive complete description from deed, tax receipt, etc.) Parcel Number 022..s.-1 ©/a2 Z G✓, W W.r.2 ' a� Ail. /Y2 '' i f �E. 4fa2..2 `I (-/f 4 Cr' / SOc,Toy 4�gdnT1,.v1t Fkeee ..?G Ade- DESCRIPTION JC G DESCRIPTION OF WORGK: New Addition V Remodel Moving Bid . Zone / Fire Zone O a Size of Lot ' IC /Y42 ' Sewage System –Xr CI f Const._J---/42 r y /_ o (Fr., Conc Br., etc.) Stories _ Dimensions < R A 5� Total Sq. Ft. 3f Valuatior V " 0 Rooms / Baths Basement 4/0A-L-Foundation Const. 0d4'CK9e-rte Chimney 1/1114--- Fireplace AA/11'- A A/N ��� i /F/u I, part, non ! (Kind) (Number Heat. System(/t^ fig . Type of Roofing / Ext. Finish /*S ""I� "Pint. Wall Finish 0'a'�' 4 L/ Use of Bldg. Aid, r(0 Al 7 Q 'C 1 Cr PA,re 'e' 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. NORTH gt, FA i I i..., ` 6i Mililliiill t(�9 RESIDENTIAL COMMERCIAL l-- (-3REQUIRED 1 rt 2 ' 254 '1 Plumbing Permit RD N Heating Permit N >N y, Sewage Permit "C''. t" Plans Received �P2PB��. Plans Checked Plans Returned Plans Picked Up 'Z ?a ' Plans Mailed P..1) 4 SOUTH I hereby cer ify formation b itted is correct and there are no otyer s res ated on this property except as shown C/`�_-AL7 / 7 Owner or Agent ate A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMIS BEFO CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE/ The zone is A(CVL �� BELOW THIS LINE Your street address will be /.2y � (0 ` A- / Sewage Permit Number Issued Building Permit Receipt?Z? Issued Remarks Form 523 Bldg. Code