1971, 08-06 Permit App: J0305 MH%1
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
Str-
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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. t.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater connections disturbs I.
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. b `
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. 1
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.
/� eAnPPLICANT FILL IN BELOW THIS LINE .per.
Name of Owner N -t -c_1, -C Address F? Pr\ OIv-0_JU-a- Phone (10 N--6 `Qg()
(
Architect. Phone Engineer di/91/9 Phone -,
i MIKE CHASTEK
Contractor E. 19224 Montgomery Address Phone Q2� Z3 E-3
1 Otis Orchard, Wash. 99027 .
.Legal Des( —_ ____ __ _ ._ '_complete description from deed, tax - ��
�h 155t1M ) it0�'�Q'
ors -sr -L- )3 44- d--1 4/31al 12. —a
DESCRIPTION OF WORK: New /-Q Addition Remodel Moving Bldg...� �Z�n 1 Fire Zone 2
Sewage SystemSFJ' c- Stories
a
Total Sq. Ft. / 20 Valuation - fit°
Size of Lot 170 X Inc
Const. -Th(10'rev . Dimensions I )--1. (n O t
(Frame, c•-••
co�ncrete, brick etc.)
� � .L
Rooms `tom • Baths �_ [Basement No FoundationpConst CO,^ -t Chimney N O Fireplace N 0
•
ne)
Heat. System p �t7$'ull Type ofoRoofing Nim-�'� Ext. Finish 1"`^°-� Int. Wall [Finish) .p blinnut
Use of Bldg. M cY S-'- t CtaC n -a' No of Units 1 Bedrooms Z --
•
—
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.
rui
NORTH
SOUTH
I hereby certify i.•formation submi
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as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is c rrect and there are no other .tru tures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
191019
Your street address will be r /'/ atitR- 7 / l J`^- C`1Q14 a zone is
Sewage Permit Number Issued
Remarks
ado
Building Permit L0 305 -Receipt 7,r// Issued
Form 523 Bldg. Code
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.INCORPORATED.
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Barker.Road and Buckeye
Greenacres, Washington 99016
WA 4-9880-
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