1971, 12-14 Permit App: J1532 MH• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
I
GENERAL REQUIREMENTS
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 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 -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 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 .; ,^A
0 X) Address Z- Phone 7 p
2A' -Z3 1(
_Phone
PERMIT FEE
Name of Owner
Architect
Contractc
Legal Desciipcioli ui rauvoa.., k...:e comp ete description from deed, tax recei t, etc.)
•
bib
( rz—,/
MIKE GHASTEK
E. 19224 Montgomery
Otis Orchard, Wash. 99027
Engineer Phone
Address Phone
DESCRIPTION OF WORK: New_
Size of Lot 7f)( i 20
Const fla— t Dimensions
(Frame, oncrete, brick! etc.)
Rooms -5 Baths ` Basement h 0 Foundatio
(Full, part, none)
Heat. System , - - Typ@ of Roofin
Use of Bldg. tl 1�TLD1ti`(y_
i.ef
Addition
Remodel
Moving
ILlc'c
Garage or Carport Attached
Const
Bldg. Zone ) Fire Zone,
Sewage System 1 _ Stor;�s
Total Sq. Ft. Valuation `�
uriY��w 4te07-4 Chimney lJL.O— Fireplace '" 0
/� (Kind) L��mber)
/4xt Finish ! Int. Wa11 Finish 7 --
Private No. of Units l—_ Bedrooms
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.
State License No.
m
1
NORTH
I hereby c: fy infor
as shown.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
■
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
io submit ed is correct and there are no other structures located on this property except
r7 2
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS UNE
Your street address will be 6/2. 4),
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt _ Issued
Form 523 Blda. Code