1971, 11-24 Permit App: J1425 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 B011ing 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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
APPLICANT FILL IN BELOW THIS LINE
with the land
dedications.
Name of Owner t 1'C-rt0' S Address
Architect _ MIKE CHASTEK lone Engineer
E. 19224 Montgomery
Contractor
Otis Orchard, Wash. 99027
tuive complete descri,,,�tLion from deed, tax receipt,
Leif- gioak /Z g -at
Address
�, Iti ZZs. auckye
Legal Descrip....,.. u. r.upel Ly
etc.)
f2) al
Phone
Phone
Phone
te,
C3$55L
DESCRIPTION OF WORK: New Addition
Size of •t 7o y 11') 1
Const 0.• .,. Dimensions 10 4)1 SD e
(Frain:, q ncrete, brick, etc.)
Rooms Baths Basement N0
DA -k-
part, none)
Heat. System n DA -n - ype of Roofing
Use of Bldg.
Remodel Moving
Foundation Const
1 -r2 -
Garage or Carport Attached N 6
(>-1
Bldg. Zone
Sewage System
1e_
Total Sq. Ft.
Ext Finish
Fire Zone 3
Stori t
V7 v
Valuation
cJC Chimney N L4 Fireplace f ""
r (Kind) (Nu ber)
,1� L ,rQ jt� Int. Wall Finish L.A.
No. of Units ___L_ Bedrooms -2--
Private Detatched 14,0
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.
en
to
NORTH
1)1i/1:6';')--(ed_cJ�'
I hereby certify informa
as shown.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ion submit d is corre&t and there are no other structures 1
ated o this property except
Own r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Yeyv stet address will be
Sewage Permit Number Issued
Remarks
e zone is iL Pr " ' 14,11
Building Perm /Receipt
Issued
Form 523 Bldg. Code
ffa ta LEI
INCORPORATED
F
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
vz. r4c4oL; 11(.1:- I 2_
aucko-k-,
f e