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1975, 06-23 Permit App L0586 Mobile HomeCounty of Spokane. Washinigton APPLICATION FOR LAND USE OR STRUCTURE PERMIT4 GENERAL REQUIREMENTS PERMIT FEE ---- ; ............. PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of au"' 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. 45-133and 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 251 is required, a 5' side yard, 15' side yard from a flanking street, and a 251 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 1:.,� 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 Architect Engineer Contractor Legal Qescti of Vroperty (9i)ve comp) n!!��-'�Address Phone Address Phone Address Phone Address( I !2k�hTqe ption forri tax receipt, etc.) .4-- DESCRIPTION OF WORK: New — Addition Remodel Moving Bldg Zone Fire Zone Size of Lot 5- Sewage System Fr., Conic. Br. etc.) Stories Dimensions Total S Ft Val.atio 6_0 C" Baths Basement Rooms Al 0 Foundation Cons Fireplace -4z 6 -'-T- , part, non- Full _(K�ind) (Number Heat. System Type ?f Ro0f1Pg Ext. Finish Int. Wall Finish Use of Bldg. ZK_ No. of Units / Bedrooms i 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 State License No. Ind. Ins. Acct. No. J RE9UIRED m Plumbing Permit Heating Permit - Sewage Permit Plans Received Plans Checked - Plans Returned. Plans Picked Up Plans Mailed — SOUTH I hereby certif formation submitt d is correct and there are no other structures located'o this property except as shown. V V Owners AgentDate A LAND USE OR STRUCTURE PERMIT MUST PTIE PREMISES BEFORE 'CONST RUCTION COMMENCES. THIS IS NOT A PERMIT. 00 NOT WRITE BELOW THIS LINE Your street address will be The zone is Sewage Permit Number Issued Building Permit"" a Issued Remarks Form 523 Bldg. Code