1971, 11-10 Permit App: J1358 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 1^� �.LF(�
/
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 -RACK 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.
CONY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
De
Cir
in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
Mot/ING of BUILDINGS. A permit is required to move an existing building. When a building is moyed on a County or State
Hithwey, 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 he land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedirJtt ions.
APPLICANT FILL IN BELOW THIS LINE N
Name of owner
Architect Y.
Contractor
Legal Descrf_
_16JA.Lw.�tlNyt Address 19223 1 lajlefi_ _ Phone t°4 -Ch Bib
hone Engineer Phone
Otis Orchard, Wash 99027 li
Mi KE CHASTEK
E. 19224 Montgomery
Rico
DESCRIPTION OF WORK: New Addition Remodela
Moving Bldg. Zone Fire Zone
Size uY3,gt - / A(� f /% i ( t+i Sewage System _ Stories s{/
Const' .'J t LtM^l Dimensions V lC .� V Total Sq Ft. Valuation r��+ oaa
Address Phone Clag' 7.123
teet� description from ..ed, tax receipt, etc,
(Frame, concrete, brick etc.) d,
Rooms. Bath:_ Basement 1't/OFoundatign Const
(Full, part, none)
Typlpf R.00fing
•ITA 'MVY'P
Heat. System
Use of Bldg.
Garage or Carport Attached
Qg.pia..t ckat'himney •- 2 Fireplace ' .h7
(Kind) (N ber)
Int. Wall Finish 4
No. of Units t. Bedrooms
Private Detatched
. Finish
PLOT PLAN
raw 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.
m
N
NORTH
- aSime
•
I hereby certify infor
as shown.
SOUTH
State License No.
Ind, Ins. Acct. No. ,
REQUIRED
Plumbing Permit
ww Heating Permit
we Sewage Permit
-4
N
io matted is/co/r}et a t ere are no other
Owner or Agen
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structure located on this
property except
lel/4/7/
ate
A,LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS jsINE T /
C t^ c4 �=.s( f i%r0
e zone is r[
f
Your street address will be - Z
Sewage Permit Number Issued
Remarks
Building Permit
Receipt ] r n *Issued
Form 523 Bldg. Code
.INCORPORATED "
Barker Rodd and Buckeye
Greenacres, Washington 99016
.WA 4-9880