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1974, 11-04 Permit App: K6209 Residence County of Spokane. Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT , GENERAL REQUIREMENTS PERMIT FEE 11 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 6 tSpokane 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 Dy 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 C--'4// /1/0 A71 ef Address /702 ive./. S/�-y Phone / 4'Y 6"y77 Architect Address / Phone - Engineer Address yPhone Contractor rklA,,,r— .t/ Address // '7/ - 17.---e//5/7 Phone �,1f` ,777 Legal Description Property (Give compl�te scription from dg I tax receipt, etc.) DESCRIPTION OF WORK: New X _ Addition Remodel Moving— Bld . ZgZon�'r / Fire Zone 7 Size of Lot 77i( X /y//ys"/ Sewage System i !y�onst. /��/ (Fr., Conc., etc.) Stories//O Dimensions .71 l //- 64t f /1 2O ,.i`� /Total Sq. Ft. /7j Valuation Rooms ei Baths Basement � Foundation Const./ Cr ChimneyNati a-Fireplace (FrII, part, none))) (Kind) (Nu er Heat. System,/��ftLfAype of Roofing Co. i/' Ext. Finish ��u'%l Int. Wall Finish 5J Use of Bldg. /I r .i�n ,,Pw'c f. _ No. of Units_B drooms 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. NORTHState License No. x,23-0/—///.7 Ind. Ins. Acct. No. ,9//A/ (i / 77 i, -e,Q Jz;//f( 7 © / REQUIRED /fir�7 Plumbing Permit b/d-Y C,/SCF ori Heating Permit I O e1- ArAW dt�e�b m '/ Sewage Permit oS e l"/ f • �. .Fs - Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby ce ify information submitted is correct and there are no other structures located on this property except as shown. ///jam/77 Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. rt DO NOT WRITE BELOW THIS LINE Your street address will be // 2e) ' (' 36:dc6—, The zone 1041.4,1.4,-,s . v/ lllAZ,. Sewage Permit Number Issued , Building •Permit - / Receipt t(, f/ Issued // 2 ,57 Remarks Form 523 Bldg. Code 'I;.: • . ___i_ • 1 S 7 lid/ ,Z/A4,- ��,�/ �o ,1 ' 4 \ , . . \ •• :,_,....• •\••l.. , %, V { j i \ \-::1 ‘4 / T t !' ' S-r-r,t a io 0 aiy,.e.it lanK N4/) '- 7.38' S9 ' 027. 38° 1 (Laos?' .filed, 41,Ir 1 2., .20 - 7.71 - , -J6', 4, Ilr/ , / C c.n Dis,„ � 1 c4 1 ) 4.' , 1 ` f/y ,_ ,..,,,,. . . .. , ( a, . .,4./.7. 1. ..C , t: ate _, f / i _ I 1 '�/ y' `.L L 1