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1978, 08-14 Permit App: N0077 ResidenceO- `VVashini County of Spokane,gon BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 ZY APPLICATION FOR LAND USE OR STRUCTURE PERMITt ll��`'`/ GENERAL REQUIREMENTS PERMIT FEE ...... 1-f-_.(_-.............. 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 Code and Zoning Ordinance. Con- struction must have inspections. 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 is required. See current Spokane County Zoning Ordinance for all required set -backs. 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 building (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 "�/S 7 _-s Address �/� /sof �. </Y t' c _ Phone ._ ZZ ZDV o Architect . Address_ Phone Engineer_ Address `]/U Phone _ ..�tf Address, Phone Contractor Legal Description of Property (,I've complete description from deed, tax receipt, etc.) Parcel Number - 4 .4.- . __2 GI / G --) --L _ ._ .--7 V _, O 41- -J_.( r </y Z 10 617 - DESCRIPTION OF WORK: New Add' on Remodel Moving Bldg- Fire Zo Size of Lot ��y -2 Sewage System ryonst. _ c IFr., Con Br., etc.) Stories Z Dimensions .'NZ �' y1F 'fyi Total Sq. Ft.i:(n3L. Valuation a 0 Rooms Baths Basement Foundation Const. (%o%� Chimney, Mind) Fireplace(N r (Full, part, none) Heat. SystemjC4_&_4d7 Type of Roofing �e/Y4&rF Ext. Finish Int. Wall Finish ' o��-� Use of Bldg. ��t,� i'iV!'P, 1tiJ, /�'� i' ���. No. of Units Bedrooms ROADWAY R/W WI 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. NORTH S e ic—en se No. n . Ins. Acct. No. RESIDENTIAL - COMMERCIAL REQUIRED Plumbing Permit M Heating Permit a Sewage Permit 1 Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby ertify i or o su itted is correct and there are no other ructures located on tkyis property except as shown. ©f r G 7RSTRUCTURE er Agent Date A LAND USE PER IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE 01/` ,�1�/, 1/t DO NOT WRITE BELOW THIS LINE I � n /) I I S � �" Your street address will be Cq a zone is Sewage Permit Number Issued _ Building Permit Receipt,,__ Issued Remarks -- Z �( 2-V s - i 13438Y TP-PRtittB , W WIM PINES RD, SPOKANE, WA 99206 kJ22-2200