1972, 09-25 Permit App: J4549 MH0
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
MATER. Water supply must be approved by the County and State Health Departments. Where work enwater 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.
E HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingres`ac--
cress.
0 TY 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 car. not bring action to enforce covenants or dedications.
D APPLICANT FILL 111 BELOW THIS LINE Q2
Name of Owner etas { Ln; Saal Address _____12°CM,yate T4 (+hone Iqa-2-3$
Architect MIKE CHASTER ,, Phone Engineer
Contract E 19`24 Montgomery
Ohs Orchard, Wash. 99o27 Phone
Address
Legal Description i t.,,.,. .„ ve complete descriptio,i from deed, ta., eceipt, eti
CC- 3 C A2Ce€., Phone
OtCS7_-- R13
DESCRIPTION O.
!Size of Lot p�
Const / rx+!niE Dimensions % ? - - p
) /ht`7— rift- t
Addition Remodel Moving Bldg. Zone
Sewage System
Total Sq. Ft.
- (Frame, co Crete, brick etc.) e
Rooms Baths ' Basement N°Foundation Const Cerve+
(Full, part, none)
Heat. SystemType
Use of Bldg.
C anige or Carport Attached
Roofing
ort
Ext‘ Finish
/1Ce
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Fire Zone
Stories it
Valuation 4 jj04
Chimney IV 0 Fireplace P 0
(Kind) (Number)
Int. Wall Finish (1JCi
No. of Units L--1— Bedrooms _iiZ
Private Detatched
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-
pigziatcdotacke
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit R
in
Plans eceived
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitt is correct and there are no other structuress loc. ted on this property except
shown. - /
229 -
Dater
A LAND ULURK SE OR STRU
THIS 15 NOTA I°�€KNIT.
COMMENCES.
Owner or ..ems \
9
tda, oda" DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
71te zone '8
•_. Issued Building Permit 4/{y9Pereipt22 .4_Issued
Form 523 Bldg. Code
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INCORPORATED
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1\1\ INPkE-tTA
Barker Road and Buckeye
Greenacres, Washington 99016
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WA 4-9880
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