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1975, 06-02 Permit App: L0263 ResidenceCounty. of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANt, WASHINGTON 99201 So APPLICATION FOR LAND USE OR STRUCTURE PERMIT a / 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 must conform with the Spokane County Building Cade 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 47235. 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. Paints 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 a4P44.L Name of owner :.C;/JA J-sfl S 12,44.4 iT'-, Address p/L .9//9 iiv./J./,7�f- Phone R/ -7--z / l3 Architect Address Phone Phone EngineerAddress Contractor sereno -os., Address g Phone Legal Description of Property (Give complete description from deed, tax receipt. etc.) �fSis IJ' 45— 0/O1 fi.Cl7 9 R.C/t / — itietiftv /77%ett , -. dee QESCRIPTION OF WORK: Ne%% Addition Size of Lot /j 6X /1",6 / C, / Storie. irF Dimensions Rooms -I_ Baths 3 Basement - -R-(Full. part, none. Heat. System(A A'A, eke Tyof Roofing Use of Bldg. ».I4Lnt/, .."142./1/.41.".1 Remodel Moving Bltl$ ton Firee Sewage System onsc> i+t'CLE'p/ IFr., Conc., Br.. etc!) OO as- 2QXeL.3X y'/ Total Sq Ft. a- dU Valuation 40OOD-- .L0 Foundation Const Aipt�-;U,�/. ChimneyFir�rplacejiir/'� (Hindi su IN_ pe � Ext. Finish Int. Wall Finish FJ.J2/G 21Y.4 -Y t/.L6lLIf.( p��rr No of Units_ Bedrooms PLOT PLAN ,�p d-c�/Aa+Au..at property lines; (2) street or road locations; (3) location of existing and lines and streets; (5) dimensions of buildings; (6) location of sewage sys- Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. NORTH State License No. 2 3-6/—/sitz Ind. Ins. Acct. No. y — 4S -7S -ON F/A..F REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed I hereby ertify and there are no other structures located on this property except as shown. Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. o-tru 1410 DO NOT WRITE BELOW THIS LINE Your street address will be (p„ X 2QS / %ZN The zone is a4.steti .F/..G( _aid , Sewage Permit Number Issued Remarks Building Perm Receipt ?VG, Issued Fern 523 Bldg. Code