1972, 04-20 Permit App: J2686 MH• •
County 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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply mast 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
Ie. Address F. Iy )toMatt) ETT & Phone
Arch itect_1 I1 ?hone Engineer Phone
MIKE CHASTEK
Contractor E. 19224 Montgomery Address Phone
Otis Orchard, Wash. 99027
Legal Descri ton or rroperty (Givecomplete description from deed
a Moc..�L 11 /94.4.4GKA.-
Name of Owne
SSL — 2o3
tax receipt, etc
/ljob te t
)
gZYl-)-38�
t,, Pt- 1/4k S. 880
CJ _ (ra,r ,
DESCRIPTION OF WOIK: New lCAddition Remodel
Size of /Ur X,/ / t
Const 24n'te, Dimensions
/2',4 (..C”
Moving Bldg. Zone
Sewage System
Total Sq. Ft.
(Frame. 4gslavet e, brick, etc.)
Rooms 1, tpBaths 1 Basement N 0 Foundation Co
it
(Full, part, none)
1441111
Heat. System
Tse of Bldg. YYlu tT�p Tymofingl21
Garage or Carport Attached
t
15 f
Ext Finish
nula
Fire Zone 1•
Storiej
V
ia
lu�ation
kit CSoo
Chimney t Fireplace ND
(Kind) , O(Number)
Int. Wall Finnish
No. of Units J__ Bedrooms
Private Detatched
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
H
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
�0-aC
ahJ Ooleff
p
SOUTH
I her certify }bfo;,mation submfyted is cprrect and there are
as shown. `.
-yvu-Q
Owner br AR'�nt
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
G1'
•
an
REQUIRED
Plumbing Permit //
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ii
no othjr structures located on this property except
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will he 6, I Cie 2° 1Yl O.J el afrje
Sewage Permit Number IIassued--
Remarks
Building Permi
The zone 1
Poreipt
Issued
Form 523 Bldg. Code
Or -Ur
VC�LR &La&1
INCORPORATED
Aoc
I'
s4.
T
90'
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
404