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1974, 09-19 Permit App: K5801 Residence• County of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT /� GENERAL REQUIREMENTS PERMIT FEE.� .7�.._t 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. APPLICANT FILL IN BELOW THIS LINE Name of Owner Architect Pho e Contractor up), fErno r4 V' /O r*e S Legal Des�cr' tion of Property Give com.lete desc ddress Engineer Address ip ion from deed, tareceipt, etc.) Z"7 — Phone Phone Phone i'075/ -61.02 - DESCRIPTION OF WORK: New 1.---"V Addition Remodel Size of Lot 1/6 x /6"--t Const 6'4 M t Dimensions CA r. o?3, (2 Total Sq. Ft Foundation Const � n C o" E 716 CYlimney Moving Bld_ Zone Sewage System (Frame, 6j co crete, brick, etc.) Rooms Baths Basement �✓ G (Full, part, none) Heat. System ype of Roofing �. J 4 a /{F S Ext Finish Use of Bldg. I S /� �� Mi C Fire Zone Valuation'• t)2 Fireplace (Kizyd) (Number) i/e)e Int. Wall Finish tories No. of Units / Bedr Garage or Carport Attached 4 ij-d c1 Private Detatched 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 S` i7 m m t a 7J SOUTH I hereby certify information submitted is as shown. 7/ m 6.a © correct and there are no other Owner or Ag:.t A LAND USE OR STRUCTU THIS IS NOT A PERMIT. State License No. Ind. Ins. Acct. No. Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed structures located on this property except 9.— /Y -'7Y Date E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. DO NOT WRITE BELOW THIS LINE Your street address will be ;3 e zone isCi/ Sewage Permit Number Issued Building PermitA7517/7/(Receipt //s6- 1 Issued Remarks Form 523 Bldg. Code