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1976, 03-17 Permit App: L2983 Residence• • 414-4 Codlify of Spokane. WashiOfon BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE to 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 must 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 civil action. County Officials can not bring action to enforce covenants or dedications. APPLICANT FILL IN BELOW THIS LINE Name of Own ddress "04113t .►«. Phone Phoned"Engineer Phone Contractor Address Phone Legal Description of Property v complete description fro ed, tax receipt, etc.) -RVI / i1• 5-4/---b DO •2 T`�^ OCA44,, _1 -A." Architect DESCRIPTION OF WORK: New \( Addition Size of of Const. (Fra Rooms Remodel mensio e, concrete, brick, etc.) Baths --"Basement (Full, part Heat. System Use of Bldg. Moving Bld•. Zone Sewage System Total Sq. Ft. nst. T pe of Roofing Garage or Carport. Attached Draw sketch with dimensions showing: (1) proposed buildings; (4) distance to property tem and water supply lines. NORTH Fire Zone Stories Valuatio Chimney Fireplace (Kind) (Number) Ext. Finish 7 / / / Int. Wall Finish GPLOT PLAN No. of Units Bed ms Private Det.itched property lines; (2) street or road locations; (3) location of existing and lines and streets; (5) dimensions of buildings; (6) location of e gei gs- State License No. /6,,44Ad • • 1 ' 1 r) .• 'O) O I Ia ,0 • 4000 f44180. 200 105#1 1462 y1/ ' 22' u' 1 37 f , IS 31' `' o L. _ vEN u j o Ny p��c.ow I herebyp,grtify informgtio as sh7. SOUTH Owner or Anent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. ed is correct and there are no other Ind. Ins. Acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed structures located on this property except THIS IS NOT A PERMIT. ©� wtatic-CO DO NOT WRITE BELOW THIS LINE // F. /�Q lc OS 1-11twi The zone s e3.. Issued BB i�Permit a 3 %� Receipt ��(P� Issued Your street address will be Sewage Permit Number Remarks Form 523 Bldg. Code