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1974, 07-15 Permit App: K5331• • County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT _00 GENERAL REQUIREMENTS PERMIT FEE 79c>22) 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 most 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 onwater 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. APPLICANT FILL IN BELOW THIS LINE • zr=4„..7)0(.9 Name of Owner I/ r - ' i� Address ) Phone Architect Address .91 t2'-7 Phone Engineer - Address Phone Contractor - Cater _X-, , Address Phone Legal Dos ption of Pro y (Give comple e description from deed. tax receip etc 1 !zc2 Y' %.. /d' DESCRIPTION OF WORK: New Size of Lot kamensions o,,j: 4 3 y / 07Addition Remodel �8 X /Dv' Stories Rooms Moving Bldg. Zoone —J Fire Zo eS �• Sewage System Const. Fr., Cc., etc.) - Total Sq Ft /Q7°FVal tion ooS Baths /� Basement Foundation Const. t?�j�-C-�i � Chimney - - Fireplace- , / '(Fu I part, no - (Kind) (Number Heat. System o .Type of Roofing A s!� _i Ext Finis � � Int Wall Finish �,+{/'!fin Use o Bldg . - _ �i No of UM is./Bedrooms`<.-' glOr PLOT PLAN sketch wit hdimensions showing: (1) property lines; (2) street or prop sed buildings; (4) distance to property lines and streets; (5) dimens tem and water supply lines. road locations; (3) location of existing and ons of buildings; (6) location of sewage sys- I hereb as shown certify i. ormation sub'tted is rec State License No. 7-j-3—of—ilt7 .1 Ins. Acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received C Plans Checked Plans Returned Plans Picked Up Plans Mailed and there are no other structures located on t -7 Owner or A: n Date A LAN: UOR STRU THIS ISN •• •A PERMIT, DO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number Issued Building Permit + Receipt b6/7 Issued Remarks A/c3 3/ V The zone is is pro erty except Form 523 Bldg. Code