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1978, 02-09 Permit App: M4867 Residence- County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE' PERMIT PENE N E R A L R E Q U I R E M E N T S PERMIT FEE .___.__.l __.____.:11 T REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an kind or alter any building or structure already erected, or to change a land use. Construction must conform with th Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. NATER. Rater 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 47235. 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 thestructure 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 he 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 rutin Ing with the land which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications. APPLICANT FILL IN BEI.OW THIS LINE_ Name of Owner w Addressn7 �?/:2 /dills% PhoneL� Z� Architect Address Phone Engineer Address Phone Contractor [lr__y7 .e Address Phone Legal qesai on of Property, ' e pomplete c�tption frRm deed, tax r eipt, tc 1 .Parcel er DESCRIPTION OF WORK: rNew y/�. _� dititln Remodel Moving ^ Bid Zone ..._� Fir Zo e Size of Lot ZQ X�/ Sewage System Const. �e � Fr., Co n, etc.) Stories Dimensions p7� o? X .7 �/ oral Sq. Ft. � Valuati1948219-60. ko Rooms Baths Basement oundation Const.. Chimney lace(— I F I, pert, n I ind) (Number Heat. System �F/ Ty a o 4pfing Ext. Finish --int . Wall Use of Bldgm' No. of Units/.Bedroom 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. w N y NORTH state SOUTH Ind. Ins. Acct. No. —RESIDENTIAL— OMMERCIAL Plumbing Permit ra Heating Permit wSewage Permit _ N Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed submitted is correct aqd there are no other structure$ located on this roperty except v r—or iu�r o. - io Owner Agent Date A LAN USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS 1 NOT A PERMIT. Your street address will be Vewage Permit Number Remarks Form 523 Bldg. Code DO NOT WRITE BELOW THIS LINE FA r I �j y rf n 0 The zone is .�(,J IMI�7/1�vN Issued Building Permit ReceiptCJ,/�_ Issued A � ml I I I I I t 1 r— 5L, 2052. a IGS. i1ye5 ,