1972, 03-02 Permit App: J2048 MHCounty of Spokane, Washh%gtm%'
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
Ur Water supply must be approved by the County and State Health Departments. Where work on pater connections disturbs
th\ surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineers Office. 'D
SEW,1lfE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133and47.235.
SET -ACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the tront 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
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.
• APPLICANT FILL IN BELOW THIS LINE
Name of Owner- M
N 01/)/
Arehitectf 1
1 MIKE CHASTEK
Contractor E. 19224 Montgomery
Legal Desi Otis Orchard, Wash. 99027 e
Address tr. /9ao (11 u -
Phone Engineer
Address
c.mplete descriptio
DESCRIPTION OF WORK: New \7—
Size of Lot '70 F K1/7'
Cons, 3,n0.r� - Dimensions a T L1CJ
from deed, Car'Car'd� t rec ipt, -tc
ilk I G
4 -
Addition Remodel
(Frame, concrete, brick, etc.) �t
Rooms Baths / Basement N
(Full, part, none)
ype of Roofing
Heat. System
Use of Bldg.
Garage or Carport Attached
Moving
Sewage System
Foundation Const
k4
phoneSLIT —a383
Phone
Phone (. nL) -7
Bldg. Zon Fire Zone
Story
n_ 1�gTotalS(,gq Ft/C-
]i/ Valuation
Ext Finish
Chimney IVU FireplaeP
(Kind) umber)
Int Wall Finish m
' No. of UnitsNvJ Bedrooms
Privy le Detatehed
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
m
a
M
H
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce 'f info 14h SOC. tited is corre t and there are no other st uctures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISESBEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
6:44-11/144,g,2 DO NOT ^^WRITE BELOW THIS LINE _�
Your street address will be ( /9 220 ivlu> eWl — .e zone is
Sewage Permit Number Issued Building Perini /Receipt RRri d Issued
Remarks
Form 591 RU., r...le
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Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880. ,
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