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1971, 03-23 Permit App: I3776 Garageall County of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE a.� 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 Address Name of Owner Architect Contractor Legal Des ption, f Props ty Phone Engineer Address (9i a complete description from deed, tax rec s,pt e9J S — © / Phone 'l Phone Phone etc. ) — DESCRIPTION OF WORK: New V Addition Size of Lot / S 0 X 1 2_ Const Dimensions a (Frame, concrete, brick, etc.) Rooms Baths Basement Foundation Const (Full, part, none) Heat. System Type of Roofing Use of Bldg. or Carport Attached Remodel Moving Bldg. Zone Sewage System Total Sq. Ft Ext Finish I Lis© Fire Zone 3 Stories Valuation Chimney Fireplace (Kind) (Number) Int. Wall Finish No. of Units Bedrooms PLOT PLAN raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. 11 NORTH Private Detatched State Li o. Iiw/. Inst. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed I hereby certif infor tioj bmitted is cor ec and t re are no other structures located on this property except as shown. / �/� Date 7 // Owner or Ag nt "/'/ / 277/ 7! / A LAND USE OR STRUCTURE PERMI MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number e zone is w�/fitiCi asued Building Permit 3 7 7, ,Receipt Remarks Form 523 Bldg. Code