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1969, 10-23 Permit App: I179 MHCounty of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 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 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. 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 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 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. PPLICANT FILL IN BELOW THIS LINE(' , `�C1) v' Name of Owner Architect Contractor Leval lescription of arsosztedfftarAri opert , Give Ph lete ddress .-- fI ff' .- rJ Phone /4/"-" 17 — S / • gineer Phone ddress _ Phone r ption from deed, tax receipt, etc.) 1 ► :: DESCRIPTION OF WORK: New Addition Remodel. Moving Bldg. one / Fire Zone Size of Lot b1^ i J t) Sewage System ©U.��.Z` Stories Const. jj-c! Dimensions x Total Sq. Ft. 2 ? .J Valuatio 71Q U (Frame, Edhcrete, brick, etc.) /� Q Rooms Baths Basement Foundation Const. Chimney Chimney Fireplace ($ull, part, none) (Kind) (Number) Heat. System (t/Y Type of Roofing'Ext. Finish InL Wall Finish • //,../ Use of Bldg. A-+ J ( �^/,,r-e 1G „. ,...) No. of Units Bedrooms 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- teji and water supply lines. NORTH hereby ify• rmatio as shown. SOUTH tted is correct and there are no other structures located on this property exc io 4/G • sub., A moi" State License No. Ind. Ins. Acct. No. REQUIRED Plumbing Permit ew Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed Owner or Agent A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES THIS IS NOT A PERMIT. n DO NOT WRITE BELOW THIS LINE DateYour street address will be --The zone Remarks - Sewage Permitr Iwu.., Issued Building • ----- •--- - Issued' -' IMPORTANT! - is copy nus to the �71vir�nict:�tu1 ,mac b