1972, 03-02 Permit App: J2047 MHgio 416
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE IC
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ani
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 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 -BLACK 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 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
l which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL 111 BELOW THIS LINE
Name of Owner
Architec 1i
MIKE CHASTEK
Contract E. 19224 Montgomery
Otis Orchard, Wash. 99027
Legal Des 111490
_ _„ ,__.e complete_dgscr,iption from deet ta; receipfe tcn,) — i
ssz — /Zi,
Address
_Phone Engineer
Address
22t S'
Phoneme
r��
Phone &Y `1 -9 k
Phone
DESCRIPTION OF WORK: New Addition Remodel Moving - Bldg. Zon 1 — Fire Zone
Size of of f1 & NC -6 NC -6 123 )( $ /2-0 Sewage System Stories cam_
Const itCA-ov-r Dimensions
/)--' 6Q Total Sq. Ft. 'i Valuation
(Frame,ncrete, brick, etc.)
Rooms' Baths 1 Basement J 0 Foundation Const
(Full, part, none)
JPecks
Heat. System � 6pe of r��t. Finish
Use of Bldg.j J/
Garage or Carport Attached
Chimney J ib
Fireplace
(Kind)umber)
�
Int. Wall Finish fit
No. of Units / Bedrooms 2 -
Private Detatched
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.
m
rn
NORTH
44J20/V-
cuti-e)(14)
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit -
Sewage Permit _
M
Plans Received
Plans Checked —
Plans Returned -
Plans Picked Up
Plans Mailed _
SOUTH
I hereby certify i�ff tion b tt d .is correct and there are no other structur located on this property except
as shown. _ 1, . _' /��L--�-�"
Owner or Agent Date
600 A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6'44 11 Lt1 //
Your street address will he l b Q,"((1 . kap,
Sewage Permit Number Issued Building Perm
Remarks
DO NOT WRITE BELOW THIS LIFIE
The zone is
RPCPipt p"L--Issued
fre
INCORPORATED
/ 24/
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
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CA- 7/,`./2„, 4./ Ay 44-4 if
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