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1974, 11-12 Permit App: K6286 MH• • County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0C) �r �-- 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. 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 / dedications.C APPLICANT FILL IN BELOW THIS LINE e. Phone Name of Owner ? -I�- !% ' Address Architect Address Phone Engineer 2 - Address Phone Address one Contractor e, 3 ,7` .4 0 ---Ph , D Legal crlption o roperty ire complete de cripti. .fr.m deed, ax re ipt, eett�c) c 2E., .- 2 DESCRIPTION OF WORK: New Addition �sd ,!Size of Lot 1 Remodel Moving Sewage Syste BI ne Fire Zone onst. Fr., Conc., B etc.) - , �rstl" ►rLl Total Sq. Ft Valuatio Stories Dimensions Ro Basem Foundation ConstZ51.��'^'--kiiJ'�-/himney Firepl Full, part none) (Kind) Heat. y emTA / Type Roofin• ` Ext. Finish �� Int. Wall Finis tj Use of Bldg. /---- 4' ----'e---:2c2 --- =1`� 1 �� - '- `_-'o. of Units _ BedreorTis ry ' Jf C PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) locatiaa���qq of existiig-and proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) locatiod�G -seWtge sys- tem and water supply lines. (Number fr NORTH Sta -_Li Ind. Ins. Acct. No. I he as shown. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH certify information submitted is correct and there are no other structures located on this property except Owner or Agent 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 '31z-tl 27 r `�/ �� / The zone is C _ Sewage Perini] 6 Number Issued Build. ng Permit �' Receip i ssued �y Remarks c_.�-- Ld / :2- -- 7 Form 523 Bldg. Code