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1972, 02-22 Permit App: J1953 Addition• • County of Spokane, Washington BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE " PEWIT 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 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. NATE HIGF:WAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress Wild 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 OR 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 IH BELOW THIS LINE Name of Owner _Address / D / d E 7Z Phone 111//9' ‘14—O --f5 'J Architect Contractor Leg.) Description of Property Phone Engineer Phone ('.91/5 T , Address (Giyeyee a description from deed, tax,rec etc.) ±/Q / 3 J,4 a.fa Phone whi '•5 > q / o� y� /—a41-'ohr. DESCRIPTION OF WORK: New Size of Lot 1 3 3 x 3 a 6 Const /' �� Dimensions / g o< 3 (Frame, concrete, brick, etc.) /j� Rooms / Baths Basement /10 Foundation Const. (Full, part, none) Type of Roofi Addition !- Remodel Moving Bldg. Zon Sewage System Total Sq. Ft 3/4.3 r% Heat. System Use of Bldg. Fire Zone1�.L Stories Valuation a 0 o e .. Chimney (Kind) t. Wall Fini No. of Units Bedrooms Private Detatched Ext. Finish Garage or Carport Attached Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. NORTH Fireplace 0 (Number) PLOT PLAN property lines; (2) street or road locations; (3) location of existing and lines and streets; (5) dimensions of buildings; (6) location of sewage sys- 1,,026() I here r certifj' in fipt mation ,as shown. SOUTH itted is correct and there are no other structures located on this property except State License No. / a. 3—Q/—//7/6 d Ind. Ins. Acct. No. REQUIRED Plumbing Permit iw Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed Owner or Agent a— a ar72r Date A I,,AND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. Your street address will be Sewage Permit 'Number Issued Building Pe Receipt 7fil Remarks /I DO NOT WRITE BELOW THIS LINE D /0 ezi4 The zone is I"sued Form 523 Bldg. Code a >, H )„ski y7LJ,/, 'C-1 9C .mod 0 -1414i0 a4l/ TI or ,fliay ? /1a/I oa'CCCJG�/ ��5 .6./4 2i3O,4 /'P g P£ Si -t )/-J ?bsoiapuoar `f 4-°1 - ° 1 y yg,e h al t o/ 7 �-" r4vR +,ap- 50 ,)..asiol5s l �al»Pp'0 p?SoGia4