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1978, 05-02 Permit App: M6097 renewal L4919 Addiiton9 County of Spokane, Washington �� t. 1-iq 1 q BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT � W 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. RATER. 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 9'j'2o6 Name of Owner Address Phone 912 y - z 22 Architect Address Phone Engineer Address Phone Contractor Address �� Phone Lerl !D scription of Property (Give complete description from deed, tax re eipt, etc. Parcel Number ©�S DESCRIPTION OF WORK: New Addition Remodel Moving Bld Zone ---I— Fire Z ne 3 Size of Lot 7_�LJ i� Sewage System �_ Const. � Fr., Co Br., etc.) Stories Dimensions X /y X 2 Total Sq. Ft. -— valuation Rooms Baths&—A Basement NA Foundation Const. NnIXAZ;t' Chimney �/4 Fir ace (FulI, part, none) y. (Kind) (Number Heat. System N,4 Type of Roofing Ext. Finish f��J� Int. Wall Finish Use of Bldg. r A1.ZA%,q!nAir No. of Units —Bedrooms a,`4 A-­� PLOD T.P AN 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 acd streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. NORTH SOUTH I hereby certify information submitted is as shown. Y 12), , , State License No. Ind. Ins. Acct. No. rENTIAL�LICOMMERCIAL REQUIRED Plumbing Permit M Heating Permit N Sewage Permit �1 Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed and there are no other structures located on this property except _S_1A `J Owner or Agent U Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Your street address will be Z9_7 a The zone is Sewage Permit Number Issued Building Permit Receiptf Z issued Remarks Form 523 Bldg. Code