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1974, 09-09 Permit App: K5738 MH• • 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 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. AP'LICANT FILL IN BELOW THIS LINE Name of Owner ' _ _ /i/. Jr A. ra' . ' ddress Architect Address Phone Engineer f Address Phone Contractor 20 -tZ 4' P. Address Phone Legal 9e¢cription of Prope (Give complete description from deed, tax receipt etc 1 tr�� _ - _tel.' D ifS%SV -a Phone 9- e—Arses DESCRIPTION OF WORK: N ✓ Addition Remodel Moving Bldg. Zone .- / Fire Zonec3 /J Size of Lot x l !J ,r �� Sewage Syste -,"--771, Yl2_( Z/gff,Conc.,,gr., etc.) Stories, -Dimens%ions /� -Cr' Tot�a //$p�i,Ft # / -'' v„aluation,;3 -r ,S"�/�-(J Rooms C// Baths / Baseme � Foundation Const ()' f� LU CCSL`Chimney 't-' ' Fireplace /t'7/ / (Full part, no a IKindl (Number/� Heat. System Type of Roofing_77o,D Ext Finish _ Int Wall Finish Nu beer Use of Bldg. }- Z��P�� /71J�/2� /�-�21_i� No of Units_ e ms -a--- - PLOT PLAN aw sketch with d'tiensions showing: (1) property lines; (2) street or road locatio, (3) location of existing and oposed buildings; (4) distance to property lines and streets; (5) dimensions of build ngs; (6) location of sewage sys- tem and water supply lines. H NORTH GOop L rfn SOUTH State I,rcense No. Ind. Icot. No. REQUIRED Plumbing Permit 0A77 rn Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed certify i formation subzj• ted is correct and there are no other structures located on this property except <<1.! l -/— 9/?�� sl Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW IS LINE Your street address will be Sewage Permit Number Remarks .e tone is Building Permit r -i Receipt n ued "� form 523 Bldg. Code