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1972, 09-06 Permit App: J4292 DuplexCounty of Spokane. Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE klltIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or or alter any building or structure already erected, or to change a land use. Construction most _S okaue County Building Code and Zoning Ordinance. Construction is subject to inspection. 06 structure of any conform with4the rh UTERI) 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 to 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 1s 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 Owner Architect Contractor Leg9a Desc -41 P DESCRIPTION OFF,WORRK: New7✓ Addition Remodel Moving Bldg. Zone / Fire Zone / O t )1 / 87, • / / Sewage System.OL� c_ Stores ddress c1,21/_22_ 7 — ce./ Phone 404 `/ = 74/-c Phone Engineer Phone i.er Address -y" Phone ,te a- -n...e df -r p5�eriy (rve comp e e description f om deetl, tax receipt, etc.) Size of Lo // Qo Const. 4-n- imensions Or i(.9 0 F'- D O v 2 a C. fi co (Fram crete, brick, etc.) Roo or Baths r -R Basement -U Foundation Const arr77 (Full, part, none) Heat. System tC.:_Type of Roofing Ext Finish Use of Bldg. Total S Ft Sq Valuation 7ro), a (,r a Chimney 0 Fireplace a Win 2 t 2 N0 (Kind) Int Wall �r •�-Q�// r No of Units o! Bedrooms $ // 6/cR 02, 6'Private Detotched Carport Attached 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 SOUTH I hereby certify information submitted is as show Owner or Agent A L1.S1D USE OR STRUCTU THIS IS NOT A PERMIT. Your street address will be correct and State License No. Ind. Ins. Acct. No. REQUIRED Plumbing Permit w+ Heating Permit • Sewage Permit - 4 Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed there are no other structures located on this property —ti — 2-. except Date T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. DO NOT WRITE BELOW THIS LIN a Sewage Permit Number Issued Remarks Building Permi e zone is a/nr�% Receipt\ Issued Form 523 Bldg. Code ,oh