1971, 11-24 Permit App: J1424 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o'�_, -_
GENERAL REQUIREMENTS PERMIT FEE....... �1...............
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.
NATER, Watery supply must be approved by the County and State Health Departments. Where work on water connections disLtlbs
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
Name of Owner E C. '- Apz rc:. P. Address F, J q J 0 y M on.'j ! f iw c , Phone �?d _21 13
Architect _ MIKE CHASTEK Phone Phone 'Engineer phone
Contractor E. 19224 Montgomery Address
Otis Orchard, Wash. 99027
Legal Descr. _ .. _ .. r aomplete descr'ption from de d, t x rete' t, etc ,
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DESCRIPTION OF WORK: NewAddition Remodel Moving Bldg. Zoe__ l Fire Zone
—
Size of ^Lot % O X S-0 ' x // 3 Sewage System -=:�►� Storie�
Const. .�`J\aMr L Dimensions a X no Total Sq. Ft. _Valuation j �� bQC)
(Frame, concrete, b it , etc.) ',
Rooms�_ Baths] 7� PO Basement Foundation Const. `-""" ""' 00 Chimney /V) Fireplace
(Full, part, none) j (Kind) (Num�beer)),,
Heat. System C s T pe of Roofing Ext. Finish (An Int. Wall Finish
Use of Bldg. No. of Units ___ Bedrooms Z
Garage or Carport AttachedPrivate 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 aad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
I hereby certify in
as shown. `�-� 1A
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Beating Permit
AA a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tion sub,ttf�� is torr t and there are no othef strut ures located on this property except
r (-lit j�/2.�/�7/
Owner or Agent .` Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Perp it Number
Remarks
,-.Form 523 Bida. Code
Issued
DO NOT WRITE BELOW THIS LINE
lding
zone isv—
ipt 3:24(/ Issued _
C0 Ifo- E�, t 0- t e- I
INCORPORATED Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
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