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1978, 02-23 Permit App: M5020 ResidenceCounty of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE PERMIT REQUIRED. A land use or structure permit Is required by County Resolution to erect a building or structure of say 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. 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. Rork 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 OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a Comnty 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 dedication. / APPLICANT FILL IN BELOW�THIS LINE I Name of Owner �iLa-,� N � A+rzU> Address yv r T 426,, / ez v3--r8r ///��� Phone 77J Architect `�� Address 4./earjao� Phone EngineerAddress .3835 Phone Contractor .lL.�% +-.rr.e Address Phone 1 Legal Descripti of roperty (Give c pia description from deed, tax roc ipt etc.) Parcel Number � 4 42-5,-,44,_7- 9067 is /f-� �-.7 £Z DESCRIPTION OF WORK: New c— Addition Remodel Moving Bldg. Zon Fire Zone Size rnnr..,,of Lot £ a 3-n -, h-)..• Sewage System s— pont.�r flt4- S(ories I Dimensions -4—'5' Y.3L I Fal, Conc., Br.. etc.) `c Total Sq Ft % Valuation Gri nos Roans �f Baths a- Basement Fv 11 Foundation Conal r b h ,- v6.Chimney ( ) Fireplace/ Full. part, nor— ry Heat. System e 7Rl,,#/,'� w Typo of Roofing Ext Finish ef-e`"-et' Int Wall Finish Use of Bldg. m 92.. No of Units ..Bedrooms f' /a) 50' 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 sirs tem a,.:.: ter supply lines. NORTH vs :w tn State Li cyys No. Ind. Ins. Acct. No. ` Rall( NTI -COMMERCIAL REQUIRED Plumbing Permit j (roe Heating Permit Sewage Permit ("Cr - Plans Received Plans Checked Plans Returned Plans Picked Up Pans Mailed SOUTH I hereby cert i formation submitted is correct and there are no other structures located on this property except as shown. c' 7.3- Owner or Agent Date A LAND US 'e R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS 1S NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Tour street addres w111 be JO 9/4 % O &-czAr.-1 The zone X�1l5�/ Sewage Permit Number Issued Building Permit II- s 01-eyv I Receipt 7 Issued Remarks form 523 Bldg. Code 1 r <SW o? 2/ eC/s_7 41(7ef4ei a/1 0 e