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1972, 01-24 Permit App: J1718 ResidenceCounty of Spokane. Washington BUILDING CODES DEPARTMENT, COURTHOUSE, 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 any 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. HATER. 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 ©ngineer's Office. SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.2335. 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. S ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress a egress. CO TY 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 car. not bring action to enforce covenants or dedications. PLICANT FILL III BELOW THIS LIFE Name of Owner Architect Contractor COve Legal D escr'ption of Property -* J45 __Address Engineer Address no - Phone Phone (Give complete description from de t, receipt, te.) DESCRIPTION OF OF WORK: New 1., ---Addition Remodel Size of Lot 3nl so ic la._ / Const. .1 k Dimensions 2 4 (0 (Frame, ncrete, brick, etc.) 7 � Rooms Baths Basement ----.Q di Foundation Const `� r' Full, part, none) Heat. System Type of Roofing Use of Bldg. / Moving Bl Zone Fire Zone Sewage System Stories 1 �,�.,j Total Sq. Ft 13 6Q Valuation m(9, t vu V Ext Finish Garage or Carport Attached Chimney— Fireplace (KiFd) (Num er) Int. Wall Finish � I No. of Units -- Bedrooms Private Detatched 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 a*:d streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. rn gAn NORTH I herdby c as shown SOUTH nfor ion submitted Owner o Agent is correct and there are no other st State Lic.ye No. Ind. Ins. Acct. No. REQUIRED `di Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed uctur - located on this property except Date A LAND USE OR STRUC URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. y -M 1414 j DO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number Remarks e zone is Receipt Form 523 Bldg. Code ra 10 / - 47Cia 1--a.40:;:--J tko, et( to * 0`• 4 2.o --17- • 34 I S*694-.4' 4 7 D 4 a .0 it OsSi ?2'1 1, T t