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1977, 06-28 Permit App: M2155 Pool• (10 County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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 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 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 Owner frcl ,d- cRfri.Y/ R Cn/, ki Architect Engineer Contractor/� Legal D/¢¢¢¢ scrip ion of Property (Give complete description r i -/<,:,,,,,,...)-- 2,. iJ'�� h -LtwB- ...- 14Address Address Address YrC' c (S : T n 4' P. �o •rAddress I' 0 /'1,b o /dlc7i r/76CIS G % Phhononee 1* /' r '7 y P Phone /� Phone 9l t -G ./C4 (O 7 :3- CO2 OZ. f om deed, tax recpipt, et )i arpPel Number z 2fes' DESCRIPTION OF WORK: New Addition Size of Lot 33 A X 6.3c Remodel Moving Bldg. Zone Fir@,Zone p Sewage System — onst. ✓.O .n • % - / (Fr., Conc.. Br.. etc.) Stories _Dimensions /6-- ' L 3 g / John Sq Ft S_ q 6 valuation,o" 7S 0 Rooms _Bathe — Basement --Foundation Const ,--".._.__---0----.62- ^�-----Chimney Fireplace (Full, part, none) (Kind) (Number Int Wall Finish No of Units Bedrooms Heat. System Type of Roofing n Use of Bldg.Ext Finish 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. m y I hereby qer 2y informs as shown. • SOUTH ed is correct and State License No. Ind. Ins. Acct. No. RESIDENTIAL - COMMERCIAL REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plana Mailed there are no other structured located on this property except it 2. mss} Owner,4r Agent to I A LANG USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS 1S NOT .4 PERMIT. DO NOT WRITE BELOW THIS LINE Your street address v111 be ( / 740 6 nq-, �%t�'' �.....0 The i one is Sewage Permit Number Issued /Building mit IN9 1 5< Receipt -,(7/Z_-? Issued Remarks FGI Form 523 Bldg. Code )