1971, 11-16 Permit App: J1356 MH0 i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT pp
GENERAL REQUIREMENTS PERMIT FEE ZD
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 oneater 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-iiACK 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. t
STATE IGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and itg ess.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must 1Oe
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 St to
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
Name of Owner L U�'� 6 r• 1_l I L gp {V Address IQ� 9 rn ft h.n cl^
Architect_ 'hone Engineer �� Phone ��u ^cIR.]"lJ
MIKE CHASTEK
Contractor II E. 19224 Montgomery Address Phone -
OtisOrchard, Wash. 99027
Phone
Legal Descri_ ____-__ .. w= . (uiv complete dgacription
from deed, tax rece t, etc.)
d
h
dtSSi- I'�I�
Q0M..4
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 10 )(II7 (
imensions P a# I)(St
etc.) AA'�
Basement Fv� Foundation Const
Heat System
• id -p.n.s- 0-o nno- .(A
-vt
Const. ' j'CELetw4 D
(Frame, concrete, brick,
Rooms Baths I
(Full, part, none)
C, Type of Roofing /f`Q. Ext. Finish
��,,,, ,, 00'
Moving Bldg. Zone ' Fire Zone
Sewage System a,", Stories
Total Sq��Ft.. %�� 15 Y y A"valuation /O/ DO 0
/6"P- � Chimney ' Fireplace Ai°
�(Kind) (Nymber)
P-9-17-1 /'tom Int. Wall Finish � en-0No. of Units 1 Bedrooms L .
Private Detatched
til
Use of Bldg.
Garage or Carport Attached A./0
11t PLOT PLAN
�-.4traw 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-
O.
tem and water supply lines.
NORTH
4-zi attache
I hereb
as shown.
State Ltcense No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Ir, Heating Permit
D
M Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
y ertify infor tion ubmitted ,ys c rect an/ there are no other structures located on this property except
AIVt
getfs'
Owner or Agent ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.'
THIS IS NOT A PERMIT.
Your\'street address will be
• Sewage Permit Number Issued Building Permit I/
Remarks i
DO NOT WRITE BELOW THIS LINE
l
a
M aAA -44- 0tk DACA#4
e zone is
/l
Receipt M,71—Issued
rt Form 523 Bldg. Coda
Barker Road and Buckeye
• Greenacres, Washington ,9901;6
WA 4-9880 -e7
L-1-134- g c ,_ L►,s r
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