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1974, 06-20 Permit App: K5037 Pool• • County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT '47 GENERAL REQUIREMENTS PERMIT FEE 6 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. 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 ci,il action. County Officials can not bring action to enforce covenants or dedications. APPLICANT FILL IN BELOW HIS LINE Name of Owner Architect Engineer Contractor ddress Address Address Address Phone Phone Phone Phone Legal Des 'roperty (Give complete description from deed, tax receipt, etc I DESCRIPTION OF WORK: New Addition r Remodel Size of Lot Stories — Dimensions Rooms Baths Basement (Full, part, none) Heat. Systemic! Type of Roofing Use of Bldg. Foundation Const. Moving Bldg. Zone / Fire Zone"? Sewage Systen Const. (Fr., Conc., Total Sq. Ft Valuatio Chimney Fireplace (Kind) (Number Ext. Finish Int. Wall Finish Cl�C/ PLOT PLAN ,raw 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- tem and water supply line No. of Units_ Bedrooms c. NORTH f N State Licj'se No Ind. In acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I le;eby certify information submitted is correct and there are no other structures located o this property except as shown 4r44 4.6/ Owner or Agent A LAND USE OR STRUCTURE PERM'sT MUST BE ON THE PREMISES BEFORE THIS IS NOT A PERMIT. Your street address will Sewage Permit Number Remarks NOT WRI E BELOW THIS LINE Date 6 ,,Q0/ CONSTRUCTION COMMENCES. Building Permit The zone is cS! r) 6'032 Receipt Issued Form 523 Bldg. Code