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1979, 04-12 Permit App: N2663 ResidenceCounty of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT _- 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 mast conform with the Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. NATER. Nater 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 A C A--\ C— Address � � Z�C Phone 192-2-16 Architect Address Phone Engineer C\ Address Phone Contractor Address Phone Legal Descripti°j' of Props y Give complete descrip o from dee `to receipt, etc.) Parcel Number -]l - ROADWAY R/W WIDTH / DESCRIPTION OF W N w V Addition Remodel Moving Bldg. Zone — Fire Zone Size of Lot < Sewage System Const. PIZ fc, W '�oneFt. r' x, (Fr., Conc. r., etc.) rSt\LVDimansions D 4 � L d - '= Total Sq. Ft.� Valuation Rooms s Baths Basement Foundation Const. F ,� Chimney '-'Viii Fireplace r (Full, part, none (Kind) (Number Heat. System V• T pe of Roof intp Ext. Finish QC• Int. Wall Finish Use of Bldg.' tk '\ 7/i ri ,'i ? �� i : _ t I - No. of UnitsLBedrooms 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 SOUTH St to License No. p4 Ind. Ins. Acct. No. RESIDENTIAL – COMMERCIAL REQUIRED Plumbing Permit M Heating Permit NSewage Permit 1 Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed .f1/i=/7 f W.A t� I her certify i for 'tion sub ted s correct and there are no other structures located on this property except as shown , Owner or Agent Daie A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. Your street address will be l 3A Sewage Permit Number Issued Remarks Form 523 Bldg. Code DO NOT WRITE BELOW THIS LINE Building Permit - The zone is Receipt ) '5 2 Is ed res : t , 562: i N 1 SET �npY