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1975, 08-20 Permit App: L1230 PoolCounty of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT rr�� ©l, GENERAL REQUIREMENTS PERMIT FEE4­1 PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty 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 v �'Y Address '� ` Phone�� Architect Address Phone Engineer Address Phone Contractor YS Address Phone Legal Description of Pro erty (Give complete description from deed, tax re ipt, etc.) DESCRIPTION OF WORK: New Size of Lot Stories Rooms Heat. System Use of Bldg. PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and ,, V proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. NORTH RESIDENTIAL — COMMERCIAL State License No. I_' - // Addition Remodel Moving Bldg. Zone —" Fire Zone r Dimensions Bath sBasement Foundation Con Full, part, non�— -- Type of Roofing Ext. Finish Sewage System _ Con(Frst. Br., etc. �� Total Sq. Ft.!' Valuation `�� ChimneyFireplace (Kind► (Number Int. Wall Finish No. of Units _ Bedrooms SOUTH I hereby certify i formation submitted is cop as shown. Ownf 'Agent A LAND USE OR STRUCTURE PERMIT MUST B THIS IS NOT A PERMIT. Ind. Ins. Acct. No. REQUIRED Plumbing Permit rn Heating Permit )p Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed and --there are no other structures located on this property except Date THE PREMISES BEFORE CONSTRUCTION COMMENCES. DO NOT WRITE BELOW THIS LINE Your street address will be l The zone is Sewage Permit Number Issued Building Permit Receipt Issued Remarks Form A23 91,1- Code l v i Fb r ry % L SOUTH I hereby certify i formation submitted is cop as shown. Ownf 'Agent A LAND USE OR STRUCTURE PERMIT MUST B THIS IS NOT A PERMIT. Ind. Ins. Acct. No. REQUIRED Plumbing Permit rn Heating Permit )p Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed and --there are no other structures located on this property except Date THE PREMISES BEFORE CONSTRUCTION COMMENCES. DO NOT WRITE BELOW THIS LINE Your street address will be l The zone is Sewage Permit Number Issued Building Permit Receipt Issued Remarks Form A23 91,1- Code