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1972, 01-03 Permit App: J1591 MHCounty of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0 GENERAL REQUIREMENTS PERMIT FEE PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of atu kind or alter any building or structure already erected, or to change a land use. Construction mast 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, cicarance 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. � T APPLICANT FILL IH BELOW��/THIS LINE L . ' Ami r Address W.24 ©� �I aft7J'` Phone rfi 5'3 g541. Phone Engineer Phone Ph one Name of Owner .1 ' Architect Contractor Address Legal Descrip tion of Property (Give complete description from deed, tax receipt, ettte.) - —11 __._. _ / . }-31— /I J DESCRIPTION OF WORK: New // Addition Remodel Moving Bldg. Zone / Size of Lot 0 X j -) Sewage System S Const. Dimensions / U (1 Total Sq. Ft, `y A d Valuation (Frame, concrete, brick, etc.) Rooms 'T _Baths 1 Basement (Full, part, none) Type of Roofing Fire Zone Stories Heat. System Use of Bldg. Garage or C;irpurt Attached S Foundation Const. Chimney Fireplace (Kind) (Number) Ext Finish Int. Wall Finish No. of Units Private [Matched Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. 1 .41 NORgTH Bedrooms 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- I hereby,cer as shown:--- SOUTH :information submiqRd . is""correct and there are no ner or Agent State License No. Ind. Ins. Acct. No, REQUIRED G1 Plumbing Permit Heating Permit Sewage Permit P Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed other structures located on this property except Date A LAND USE 1i STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number ,fL->> �cyi Building Permit Remarks