1972, 08-21 Permit App: J4151 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT p�G
GENERAL REQUIREMENTS PERMIT FEE -.. ( / 7
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 PRQ°ERTY LINES. In most zones and under most circumstances, a set -back from the front property 'line, of at
least 25' la -.required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are req-itiid:�
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 1s 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.
LMnng�g�A�' ,APPLICANT FILL 1H BELOW THIS LINE
Name of Owner : lL SC%...dea+ Address F. 1911$ inn.Aoa'� phone 92g -2-3 83
Architect_ I Phone Engineer
Phone
E. CHASTER
Contractor E. 19224 ""°"`s°`"°rr
Address Phone
Otis Orchard, Wash. 99027 J
Legal Desm- ycivu or erdperty (Give complete description from deed, az receipt, etc.) J
L.+ IJ- a1oic 1) 6curatar _ firsW\a ' Ml ZRSf IA0A-
0$552- I. i? -
DESCRIPTION OF WORK: New Addition Remodel
Size of Loot1 7 O' X /( f
Const RQ 1110 Dimensions
iaV(0o'
Moving Bldg. Zone__1--- Fire Zone
Sewage Systeme Stories
Total Sq. Ft. '1 Valuation
(Frame; concrete, bricky etc.)
Rooms 5 Baths 1 Basement A' U Foundation Const Q.tea , r �t'-Q0 _ o Chimney No Fireplace �a .
(Kind) (Number)
(Full, part, none) �p �- n Int. Wall Finish
Heat. System -V Type of Roofing 5' J -1� t Finislh�`
Use of Bldg. 18N4341-1 i a-t-kn (^I.� Q No. of Units L_ Bedrooms
Garage or Carport Attached
Private Detatched
PLOT PLAN
(3) location of existing and
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
aii-aoce
REQUIRED
Plumbing Permit
iw Heating Permit
Sewage Permit
.s
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify info bmitted 's correct and there are no other structlyy+�TT'es
(J/ -
as shown. �° -
QYI(,�D I°v' 2
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
4 , � DO NOT WRITE BELOW THIS LINE G� /�
Your street address will be 9�/S -)11 Q a zone��//S�s �/q at---44-:--'49—
ed
� �_
Sewage Permit Number issued Building Permit YDS/ Receipt�l Issued 9.c s_nT?
Remarks
tier or Agent
ed on this property except
2
.s •.r
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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