1971, 08-18 Permit App: J0418 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT J 3
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 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. 45-133 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
Arcbitec
Contract
Legal De
MIKE CHASTEK
E. 19224 Montgomery
Otis Orchard, Wash. 99027
ac�*� Address r, Phone (.c_'/i
_ Phone Engineer Phone
Address Phone
ve co
ol-
,T .1 -cam- 13
ete description fr deed, tax rece4pt, etc
la �� J - /=-62,
DESCRIPTION OF WORK: New 7_ Addition Remodel Moving Bldg. Zon Fire Zone ,5
Size of Lot 73 r "i( 1/ % ' Sewage System Stories �(
Const i ^ — . -
- Dimensions 1 5 -760e --)Total Sq. Ft. �Valuation 4f 300 c"1'.
(Frame oncrete, brick, etc.) n
Rooms i Baths / Basement No Foundation Const C'�-12,-1 1 _ ILD
Chimney N Fireplace t v v
��11 (Full, part, none)
Heat. System0Q"- Z Ty a of Roofing
Use of Bldg.
(Kind)
Int. Wall Finish
(Number)
Ext Finish Y +`- L�Li ' 'Cbn
No. of Units 1 Bedrooms 2_
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
I hereby certify information sub ted is c 7 and er are no
as shown. t r
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
tos Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structuresocatgd on this property except
/��
Owner or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DONOTWRITE BELOW THIS LINE
Your street address will be r l �! /i Eil (((_4 Co"- 6/tCk��� / /�/ �%�,
to zone is I ,--) ` ?'r dL'"
Sewage Permit NumberIssued Building Permit t, r�� ceipt 73D 3 IssuedcP-7
Remarks
Form 523 Bldg. Code
1iPP
-VLLLCL EdtatEJ
!"•;CORPORATED
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
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