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1972, 01-04 Permit App: J1605 Residence9 County 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. WATER. Water supply must be approved by the County and State Health Departments. Where cork on nater 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 dedicat tons 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 Name of Owner Architect Contractor // - / ddress o // e - Phone Engineer Address 5—te� Legal Description of Property (Give complete description from deed, tax receipt, etc.) r...0e0=e c99 6 y/ — n 3 e --is Phone %'e- 5 7/, Phone Phone DESCRIPTION OF WORK: New Size of Lot 7o X / 7 o Cols Dimensions oncrete, brick, etc.) Rooms Baths - ent B (Ful hart, none) Heat. System! &c /%3JType of Roofin Use of Bldg. /.r�� -�P "-- Garage or Carport Attached x Addition Remodel Moving Bldg Zone Sewage System 6,1' 3 6 8 2.41/± .6 -C Total Sq. Ft. /S / Z Foundation Const Chimney Fire Zone / Stories 3 Valuation 2// 0 0 0 Fireplace (Kind) (Number Ext Finish T— / — /(/ Int Wall Finish - No. of Units - Bedrooms 3 Private Detatched PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or proposed buildings; (4) distance to property lines and streets; (5) dimens tem and water supply lines. W NORTH 41° G/m 1 30 7 C. —3 SOUTH I hereby certify information submitted as shown, is correct and road locations; (3) location of existing and nus of buildings; (6) location of sewage sys- State Lice se No. Ind. Ins. Acct. No. there are no other REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed structures located on this property except OwnerC6r Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS 1S NOT A PERMIT. OA.) 74,ta DO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number Remarks ['sued Building Permit P �wv e zone is t1 65 Receipt slued Form 523 Bldg. Code