1972, 05-04 Permit App: J2974 MHy.
•
County of Spokane. Washington
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to Inspection.
WATER. Water tsupply 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 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 moyed 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 e9Q'• a co¢anant, s/or dad cations.
1I/
/l Q APPLICANT FILL IN BELOW THIS LINE .�,._�y,� , 9992_°;17-2-3
U2�r7 b
Name kiP Owner 't1�
get -arty Address -Ira0 CULL phone 92p —�-��
Architect _r (hone Engineer Phone
MIKE CHASTEN
Address Phone
Otis Orchard, Wash. Stu
Legal Descri sou ui rtu CL y tui_sone wmplete deacr lDt ion Prom eed taz rete t, etc.)
Contractor E. 19224 Montgomery
' B f ticks IS tvIiti.t-r- n t&�.o6; l e
CSL — t9(p0C
DESCRIPTION OF WORK: New `_
V` - Addition
Size ofsl,�°t .70Nic as -
Const
l �st--s (
Const —fent Dimensions J%C Cy
Remodel
Moving Bldg.
Sewage System
Total Sq. Ft. 6C!
(Frame,pcsncrete, brick, etc.) '1
Rooms ' Baths l Basement IMV Foundation Const
one
LA-avve3
CMeo.`4- ylaJC%
(Full, part, none) ,,� �.i{., iX1
Heat. System ype of Roofing 1 ^x -k"— ��� Ext. Finish
Use of Bldg. l/'R�i y. -ette
Garage or Carport Attached -Ne
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Chimney
Fire Zone
Stories
Valuation OCC''
3
No
Fireplace N
(Kind) tiNumbeg
Int. Wall Finish J64 pq 4
No. of Units Bedrooms
Private Detached NJ
PLOT PLAN
property lines; (2) street or road locations; (3)location of existing and
lines and streets: (5) dimensions of buildings; (6)
) ocation of sewage san
SOUTH
I hereby certif informatioryisµbmitted ks
. c k lw�L`/W/.
c�a
as shown.
correct and
there are no other
(}
Owner or Agent
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
ures located on this property except
Ofi
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THI
INE
Date
CONSTRUCTION COMMENCES.
Your street address will be i CH 0 (ILQL. ^in-Ltif The zone is
Sewage Permit Number Issued Building Permit
r, �aAn�.l71-t
Remarks
,
a999 aceipt Issued
Form 523 Bldg. Code
' V CLLQ atatzi.
INCORPORATED
j\t\kR.L(N CIU'
or
So'
So'
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
Ads ✓)ou(CI
31 r Afocb,�
•
F ,
1'471 0 311x, .,.
.s -C4 /l'. i' Gro