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1974, 05-21 Permit App: K4701 Pool317 � v 5 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 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 v • • County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 0-0 Name of Owner 4 u - - �./ Art i! - Addressti2..9,/Z-�T Phone �1-��-5V 2— Architect Address Phone Address Phone it -n.-41 Address (ji 0 ZY �-,rr r J Phone \ "C. 3 Ziry' Engineer Contractor / -�-�G.-l; r(Wt 4511 ' Legal Desc • ion of Property 1 ve complete description from deed. tax receipt, etc.) DESCRIPTION OF WORK: New Addition Size of Lot 15J 2 / Z 7 7i/ Moving Bldg. Zone - Fire Zone Sewage System " - — .nst. ., Conc., Valuation• L. » / Chimney Fireplace Y (Kind) t (Numb Int Wall Finish /2/C/ No of Uni, :edrooms it/�Z- O Stories 4M1Dimensions Rooms /VA- Baths Full Heat. System./2,2S . Use of Bldg. Basement , part. none Typeof Roofing -,ii ____e Foundation Const A//% Ext Finish a—Mt Ira PLOT PLAN i raw sketch with dimensions showing: (1) property lines; (2) street or road locations; oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; -' tem and water supply lines. NORTH I hereb, certify information as shown. w N y ) location of existing and (6) location of sewage sys- Stat icceennse No. Ins: Acct. No. REQU I R D Plumbing Permit/ Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH s e*itted is correct and there are no other structures locate Owrer or Agent Date ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CON HIS IS NOT A PERMIT. n th s .roperty except eSewaYour street address will be-- Sewage ge Permit Number Remarks OJ NOT 7..,t7 BELOW THIS LINE ssued RUCTI N COMMENCES. The zone is Building Permit Receipt Form 523 Bldg. Code