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1972, 03-20 Permit App: J2209 MH• • County of Spokane. Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT9 GENERAL REQUIREMENTS PERMIT FEE 0 a 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 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 real 9 0 3 C 7-nH'e 42a -o 6 7.0' Engineer Phone Contractor Address e c ) S�j�2 — 0 tf� / Legal ri ion ofcFrloperty Gi plat description deed, t: i ecj pt, Name of Owner Architect DESCRIPTION OF WORK • Jew Addition Size of Lot// 7 7 / •S� Dimensions /'7L1/ -. `7" r ete, brick, etc ) s Baths / Basemen Foundation Cons 11, par , none) pe ofmg Remodel Moving Bldg. one / Fire Zone Sewage System -- Sto ies Total Sq. Ft. / &' Valuati 5? -S— 0 e) Heat. Syste Use of Bldg. Garage or Carport Attached —Fi replace (Kind) jF,mber) all Finis No. of Units Private Petetched Bedrooms '-�— PLOT PLAN Draw 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 lines. NORTH 1 I hereb cer as shown. State License . Ind. Ins. Acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed is correct and there are no other structures located on this property except Owner or t/' Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS HOT A PERMIT. (qZW 2Y4p. p - DO NOT WRITE BELOW THIS LINE Q Your street address w111 be / v .5 --- The zone is Sewage Permit Number Issued Remarks Building Permit -- 92 °y Receipt Form 523 Bldg. Code