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1976, 12-29 Permit App: L6611 Residencer C&fy of Spokane, Washt9ton BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aay 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. I 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 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 Name of Owner -CCS 01- FL WAO 1,AIC . Address %S o 717 �flf%sS Phone 9aR' 2C.92 Architect Address Phone EngineerAddress Phone ,"_�^ Contractor eiS.I OLAL/ .AAQ //s/C _ Address 7 ;FS Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Ste/ !V r-& X40.&I Tic Al Add" :7 7 67V-51- © 3 o )— DESCRIPTION OF WORK: New Y Addition Remodel Moving Bldg. Zone Z Fire Zone Size of Lot 9e Sewage System S40P%6Cconst. F.QAr"o Conc., Br., etc.) Stories -/—Dimensions o4? )Q9f y%iGN�I.7 t 201 XlS Total Sq. Ft./ 4tValuation 4416.60n Rooms Baths Basement UGL_ Foundation Const. CACW5ZIM AZZ-467 Chimney l ireplace -,:- Full, part, non I A (Kind) AR (Number Heat. System �fA Type of Roofing C/�% /- Ext. Finish Int. Wall Finish Use of Bldg. L�;_ "Cd It'd- Q No. of Units J_ 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 RESIDENTIA - COMMERCIAL State License No. a13 jvo-LF• L3 2V Ps' Ind. Ins. Acct. No. / 4(Z / REQUIRED Plumbing Permit T J u m Heating Permit D Sewage PermitQ�//✓� N Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify i formation submitted is/�correct and there are o other structures located on this property except as shown _ n ��� Ai! _ ,//1" � pi�� / �/19��4 / Owner or Agent �/ v/ Date / A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. „ k) DO NOT WRITE BELOW THIS LINE Your street address will be Z 3 7 a 6 The zone is ad Sewage Permit Number Issued Building Permit Receipt sW154 Issued Remarks Form 523 Bldg. Code i Oe V +1:o ao n Q) a 149x 130 � eo�cREr� Oe%VE 23LK,�3 I 4 ADA M 0 J IJ i'�4)lJ }01 �W yT AVEA%vG �.e�oL F�I.MrID INC,