1972, 05-18 Permit App: J3113 MH0
County of Spokane, Woshington
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. Rater supply must be approved by the County and State Health Departments. Where work minter 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 car. not bring action to enforce covenants or dedications.
Phone q XVI ��
Phone11-n
Phone
APPLICANT FILL IN BELOW THIS LINE
Name of Owner _grIrl} KO' C Z/- K Address r^i
Architect_
Contractor
Let
:F 111(L
MIKE CHASTEK .Phone _Eng ineer ,' I4•1210
E 19224 Montgomery, Address
One Orchard, Wash. 99027
escs ilawn 01 croperty (Give complete description from deed, tax rp�ceipt, etc.)
i o S� Ritck. a RHRkur Kofz�. 'Mob It-
ti410N _ GQss2— 1Zo
R.IPTIONOF WORK: New Addition
}.
of Lot ! tY K I l0'
,onst, 1J\Qir^t. Dimensions I al -7(60 t
(Fragile, concrete, brick, etc.)
Rooms_- Baths I4 Basement N o
It ,^, ��,_^ (Full, part, none)
Heat. System 1' I Type of Roofing
Remodel
Moving Bldg Zone
Sewage System
Total Sq. Ft.
Foundation Const
Use of Bldg.
14nrnei— Y— sr
Ext. Finish
Garage or Carport Attached
Fire Zone •
Stories t' i
Valuation %000
Chimney N V Fireplace N
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms _Z
Private [Matched
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
finat
tachcg
r(
7,
I hereby certify in
aso,shown.
SOUTH
submitt-d is correc
and
5tate 'ce[De Ne.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
to
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other//Itructures located on this property except
Q n Z
Owner or Agent ' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCESL
THIS IS NOT,A PERMIT.
ry
(y—,,.r 'I/IA 1, .o ri DO NOT WRITE BELOW THIS LINE
� I
CV 4 .
Your street address w111 be
Sewage Permit Number
Remarks 0-17-4 _
ssued
Building Permit
e zone 16
Receipt
Issued
Form 523 Bldg. Code
WILL EltatE.d
Barker Road and Buckeye
106
INCORPORATED
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Greenacres, Washington 99016
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WA 4-9880
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