1971, 09-16 Permit App: J0780 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .1
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 1s 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.
7 -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
;east 25' is required, a 5' side yard, 15' side yard from a flanking'street, and a 25' rear yard are required.
IiTATE 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 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 easeeents running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
/-� ttppe�__�� �,,�' APPLICANT FILL IN BELOWLTHIS LINE
Name of Owner_GENE ria TAuRO Address E'. IG n2-0 filo k i3/1+ Phone %.1.�r7'�i �ob�
Architect: Phone Engineer Phone
MIKE CHASTEK
Contractor E. 19224 Montgomery 1 Address Phone
Otis Orchard, Wash. 99027
Legal'Desc_ _.-_.. _ ___�____—,__._ complete description from
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DESCRIPTION OF WORK: New Addition
Size cif..�^
Lot !S I X /'L'l "
ConstrmE Dimensions hit 7C n),
Remodel
Moving Bldg. Zone _1_-- Fire Zone
Sewage System-�e-' Stories
Total Sq. Ft. COO Valuation 13 4f Od
(F \,nme, concrete, brick, etc. )
Rooms Baths � Basement ha Foundation Const
(Full, part, none)
Heat Syste , ' ype of Roofing
Use of Bldg. RTr�-tCP at,
E
Chimney
Nd Fireplace IVCD
t,,, , ,�,' (Kind) _� (N/umber)
xt Finish 1'�t'J^- Int. Wall Finish -�Ta--
No. of Units 1 Bedrooms
Private Detatched
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road Iodations; (3) location of existing and
proposed buildings; (4) distance to property lines artd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
m
-1
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify info motion su11bii ed is correct and there are no other str ctures located on this property except
as shown. ..)6
/
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be • e 0 V If/AIL,‘
Sewage Permit Number Issued Building Permit
Remarks
e zone is ig!?/—tkieO
Receipt Issued
Form 523 Bldg. Code
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INCORPORATED
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
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