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1972, 07-12 Permit App: J3722 AdditionCounty of Spokane 1Hashingto!� 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. MATER. 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 '.o enforce covenants or dedications. APPLICANT FILL W BELOW THIS LINE Name of Owner Architect_ Contractor Legal Description N�� _�lddres Phone_" .1 9h gg Phone Engineer Phone Address Phone X353 _ oy of roperty (Give co lete descri9tion rom deed„ tax .ceipt, e r ALE DESCRIPTION OF WORK: New Size of 129t. JrD X Const -Dimensions i / X / Addition )( Remodel (Frame, concrete, brick, etc.) Rooms— Baths --' Basement (Full, part, none) Heat. System ,Q,Q T pe of Roofing Use of Bldg. Foundation Const. Moving B1d Zone Fire Zone Sewage System Stories / ci Total Sq. Ft. /3.2 ' Valuation / (iv Chimney Garage or Carport Attached Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. NORTH — Fireplace (Kind) JA '7t: t r Int. Wall Finish 1- �j'j''{%'�/ No. of Units Bedrooms Private Detatched PLOT PLAN property lines; (2) street or road locations; (3) location of existing and lines acd streets; (5) dimensions of buildings; (6) location of sewage sys- 4. dl 4. • 4 0 VQ • 1 SOUTH E.t rsr/,v4 OeitE I hereby certify information submitted as shown. is correct and there State License No. Ind. Ins. Acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Ire— Plans / Plans Checked t/ Plans Returned Plans Picked Up Plans Mailed are no other structures located on this property except �- /..1- 7& ner or Agent Date A LAND USE OR 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 Remarks y Issued Building Per it e zone 1s Receipt Issued Z z� Farm 523 Bldg. Code