1971, 08-06 Permit App: J0306 MH•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT b
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 thestructure 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
-g 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.
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APPLICANT FILL IN BELOW THIS LINE ._.p�_erl_ 2
Name of Owner D A N lag.- So�N Address �. 19 2x1 y SMO rua�ot Phone 9 Z -t ' g!
Architects MIKE OHASTEK '_ Phone Engineer Phone
Contracto 11 E. 19224 Montgomery Address Phone (3F -'4 q g�
Ota Orchard, wash. 99027
Legal Dest _ .,.-.. wercr-lul e complete de--ez-4pti�n from dee tax receipt etc.) NNS
DflJ— — 1?,0tf
DESCRIPTION OF WORK: New Addition
Size of Lot 1 10 -„9'
.I
Const. 'J"rY^Q_Dimensions
Remodel
Moving
Sewage System QTotal Sq Ft
(Frame, concrete, brick, etc.)
Rooms o Baths 1 Basement
(Full, part, none)
Ty ope f Roofing
1\)0 Foundation Const
Heat. System
Use of Bldg.
Bldg.Z
o Fire Zone 3/
' Stories
CD.rro-,.t• 0-62-A0
ileL-Q—
Chimney
Valuation 4. Z 00,
/U V
D Fireplace / a
(Kind),,umber)
Int. Wall Finish War panto.,
Units 1 Bedrooms 2 -
No. of
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
ostardk99
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
D Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
- SOUTH
I hereby certify,information mitted ' correct and there are no 0 hher Astructures located on this property except
r/jVA�/1
as shown. c„/ �/
Owner or Agent (( Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will beWt`N a zone is /5 Ale v
Sewage Permit Number Issued - Building Permit r Receipt 2y',/ Issued
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-
Remarks
Form 523 Bldg. Code
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• Barker Road and Buckeye
—Greenocres, Washington 99016
ift;stgE WA 4-9880
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