1971, 11-16 Permit App: J1357 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT j >
GENERAL REQUIREMENTS PERMIT FEE /!v
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- CK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
leas 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STAT 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 mus 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 he 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 Owner7-17-
Architect.
Contras MIKE CHASTE ornery
19224 Mont Wash. 99027
Legal D otla Orchard, r a �y (GiveLociomplete description from de
Address
Phone
Phone l —23 '2 3
Engineer Phone
Address Phone ti -?.40
DESCRIPTION/OF WORK: New \7`— Addition Remodel -7
Size of Lot - ! o r / / 7 t
Const r3110rr4..- Dimensions % Z ( La f
(Frame, concrete, brie, etc.)
Rooms Baths / Basement A/ 0 Foundation Const e EMQu i AI Chimney tit) Fireplace /') 0
I (Full, part, none) (Kind) (N ber)
Heat. System pe of Roofing 4 Ext Finish i�`l a-0 Int. Wall Finish (.a o,c,
1:47
Use of Bldg. ' (t 11� & et
No. of Units Bedrooms
Garage or Carport Attached �a t�
Private Detatched �!
Moving Bldg. Zone
Fire Zone
Sewage System Stories J I
Total Sq. Ft. �' Valuation 00 d
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.
URI
Ul
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
70
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert if information submitted and thereare n other structures located on this property except
as shown.�/iect
„,<.&go /7”
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENTES.
THIS IS NOT A PERMIT.
ADO NOT WRITE BELOW THIS LINE 1Yc r street address will be / 0 j' utiete zone is / 0 4 /041e
Sewage Permit Number Issued Build ng Permit % Receipt J Issued
Remarks
Form 523 Bldg. Code
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I NCORPORATED
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UC_1<, FiC
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880