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1972, 06-14 Permit App J3347 PoolCounty of Spokane, Washington BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE $21.00 PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of kind or alter any building or structure already erected, or to change a land use. Construction must conform with 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 Roy Cuculich Address N. 610 Collins Rd. Phone 924-0686 Architect Phone Engineer Phone Address Box- 14110 E. 7404 Sprague Phone 928-1661 Legal Description of Property (Give complete description from deed, tax receipt, etc.) Lots 4 & 5, Block 1, 0it Halvorsonts Xeres Sub divi si 1 T --.°� —�'ar cel l �,& —1 105. Contractor Town & Country Pools, Inc. Const. Gunite Dimensions (Frame, concrete, brick, etc.) Rooms Baths Basement (Full, part, none) any the DESCRIPTION OF WORK: New X Addition Remodel Size of Lot Sewage System 181 x 38 ! Moving Bldg. Zone Fire Zone Stories Total Sq. Ft.576 s q • f t • Valuation $6, 000.00 Foundation Const Chimney Heat. System Yes Type of Roofing Ext Finish Use of Bldg. Swimming Pool Garage or Carport Attached Fireplace (Kind) (Number) Int. Wall Finish No. of Units Bedrooms Private Detatched 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 y` J m State License No. 223 01 11920 Ind. Ins. Acct. No. 281,995 REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify information submitted is correct and there are no other structures located on this property except as shown. For Town & Country Pools, Inc. June 14, 1972 Owner or Agent A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE THIS 1S NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Date CONSTRUCTION COMMENCES. Your street address will be �� ! -�� - ✓� �"��� Sewage Permit Number Issued Remarks Building Permit The zone is G�� Receipt issued ?7Y Form 523 Bldg. Code