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1977, 10-10 Permit App: M3906 Remodel County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT r✓ [ 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 most 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��n�f C ble through el cti . County Officials can not bring action to enforce covenants or dedications. 48024/vvt C.2u•C�- �CICANT FILL IN BELOW THIS LINE /`9f,?/6 Name of Owner Q C7 1tJ N'f Le . Address 5. ;?.)—/S--- CJ/e R C !�. T+ lis—a' 6 Phone/ Architect Address Phone Engineer ,+ �y - Address ??.. _ Phone Contractor /A-).ri ,S T- Address -Se 3 � 1s,.•--� Phone �2 �^3 ° Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number:2 k.5 Y. ^� .�'yr�Y 4.0 u T S r / j /S� ' (k' S'' l�L) �o,-i a TO iv w S /�1 E-4 DESCRIPTION OF WORK: New Addition Remodel - Moving Bldg. Zone? / Fire Zone Size of Lot / 0 X / 6---0 Sewage Systemt=X I S ?/Wf Const. /'='/W 4 211 `e---- Stories Dimensions 2.''` ? 2 / - -• , i (Fr., Conc., Br., etc.1, - * Total Sq. Ft.�a O 3 ( Valuation ' Rooms In Baths Basement - Const. - rC imney Fireplac�3 �FUII, part, no • 4 (Kina1) (Number Heat. System ' '- Type of Roofing -�'-ac- E i. finis l4 '.a fin . Wall Finish -o� Use of Bldg. —]- '_1 = --- ----- A �'S No. of its Bedrooms - { 'I.(24;I.a-U.-1- 1L / / . , ' x9-_, ••LOT PLA .�,�.,, Draw sketch with di,f nsions sill ing: (1) property lines; (2) street or road locations; (3) location of existing and proposed buildings; (4) distance to property lines and s eet ; (5) dime sion of buildings; (6) location of sewage sys- tem an ter su nphy lines, alit � -0, - ,yitta � NOR State License No. Pi , ..2,z- 0--c -cA-44‘17, 0.- •. Ind. Ins. Acct. No. ei046 7---(_„A' G RESIDENTIAL \COMMERCAL^4 „ REQUIRED * / /2rfotyr Plumbing Permit as / "' Heating Permit Is ut Sewage Permit -i -I Plans Received Plans Checked (ii -_ Plans Returned Plans Picked Up Plans Mailed SOU H I he eby ce fy or : ion s " ' or.: ed is correct and there are no other structures located on this property except as shown.�,/ Gf� , 11L /J — /0 '— Owner or Agent Date A LAND USE OR STRUCTURE P MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS ISNOT A PERMIT. q DO NOT WRITE BELOW7THI LINE Your street address will be �'f-4. /©� 202 efr" ' The zone is / ' Sewage Perms Number • Issued Building Perini trued wr+s�I` '�ceipt � _ Remarks / • i0-2. 1 •_ 1 Cele a . � - /i 7n22 G / itiol t-4-7. a. , , .9.6. I .AT:Lel 10 � OIL "let.. 3-6a/). / / II, P Form 523 Bldg. Cc (( Q , -•' 'J5 O_ 7 q- •�v!n¢dlcf A t; A j*t i t y: Building code requirements: 1. Remove window, change to door for exit. *Fire code requirements: 1. Smoke detectors connected to manual - pull alarm with bell. Owners' changes: 1. Remove wall partition, change to doors. 2. tub, add toilet.