1971, 08-26 Permit App: J0510 MHC�
PERMIT,APPLICATION FOR LAND USE OR STRUCTURE
GENERAL REQUIREMENTS PERMIT - n- ............
I'T RRQUIRED. 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 lard use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance, Construction is saable,ai: to inspection.
WATER, Wader supply must be approved by the County and State Health Departments, W"ltere work ora water connections disturbs
the surface, shoulders or ditches of County loads, permission must be obtained from the County Engineer's Office,
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions 08s 5-133 A4 . 5.
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. were 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 m'usat be approved by the County Engineer.
MOVING OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance mast be obtained from the County En;ineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessary 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.
PLIANI
" _
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Name of Owne r _ Address
Architect—Phone _
a'aagixl er
Contractor Address_
LeA�scriptior_Property ( iv c pletee ddesc iption fr `
receipt, etc.
Phone
Phone
DESCRIPTION OF WORK: e Neer _ Addition Remodel _w �
Size of L
_ adTo�ra�a ��,ABIdone .�,.. Fire zone
Sevrdage SysteSto ' lirrzerzsioras /�Crete, rich etc.) � _� Total . °t. alua A s
Rooms..___... Baths Basement-! _ Foundation Const.� - Ch;mney . Fireplace
Heat. System.
(Full, part, none) 7 (Kind) -`—)(Number)
Type of Roofing Ext. Finish
r . -- _ — _ Int. Wail F°ini
Use of Bldg. C" � � a
i$T4. of Units bedrooms
Garage or Carport Attached _ Pzivate Detatched
PLOT PLAN
Draw sketch with dimensions showing- (1) property hares; (2) street or road locations; (3) location of existing and
Proposed buildings; () distance to property lines ar:d streets; (5) dimensions of buildings; (5) location of sewage sys-
t m and water supply lines.
NORTH State L' nse No.�
Ind. Ins. Acct. No.
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Plumbing Permit
W, Heating Permit
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Sewage Permit
A
CPTH
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed —
edis cor ect and there are no other structures loca
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7 �
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Date
on thisrvroDerty except