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1975, 05-13 Permit App L0058 Poolir 0 4 County of Spokane. Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 O APPLICATION FOR LAND USE OR STRUCTURE PERMIT Z;) GENERAL REQUIREMENTS PERMIT FEE. -------- MIT 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 most 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 -RACK 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 he 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 most 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 i c, Q' V e " Address z c f l j b eo al i%Pr itN. -C- Phone R Architect Address Phone Engineer Address Phone -�-- Contractor M i Ota 5 Lc nn e N S-ta C_ Address l I rf A$ Ft.•. n e Phone Legal Description of Property (dive complete descripXton from) deed, tax receipt, etc•1 f DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone --/— Fire Zone Size of Lot _ ti i X C Sewage System onst. ' / v 3 �Fr., Conc., Br , etc.) Stories _Dimensions b /l �- �-s- s1! 5��• Roans _ Baths Basement Foundation Const.. Valuation Total Sq. Ft.Chimne Fu I, part, nonce— Y(Kind) (Number Fireplace Heat. System _Type of R ,ting Ext. Finish Int. Wall Finish Use of Bldg. I'K Wt No. of Units _Bedrooms 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 'p water supply lines. NORTH_ State Li can No. I Ina. Acct. No. SOUTH REQUIRED Plumbing Permit tw Heating Permit NSewage Permit y Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed I hereby certify information submitted As correct and there are no other /•structuufes located on this property except as shown./ J/I / % 17 Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. Your street address will to% L Sewage Permit Number Issued Remarks Form 523 Bldg. Code DO NOT WRITE BELOW THIS LINE ing The zone Receipt