1972, 03-16 Permit App: J2186 MHL
County of S ®ne, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. POKANE, WASHINGTON 99401
APPLICATION FOR LANDS USE OR STTURE PERMIT 6 a
GENERAL REQUIREMENTS -,PERMIT FEE --------------------------
PERMIT
.______ .
kind
or alteranyanylbuildinguse oorstructure structurre alreadyrmit serected, oruired touchanty gesalland use.erect
Construction most conformstructure
with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NAT4.
ER. crater 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
Name of owner�Address I 19110 Al4-h7j)& •- Phone_ �''� y -M9
Architect Phone Engineer Phone
Contractor MIKE CHASTEK Phone
Address
E- 19224 Mont W ash. 99027 _..
Legal Desci otls oT°h%%aTa' %,...V complete
\ descripttion�from
(deed tq receipt etc.
/'L-,4- 2 gL,, .0 . J3 t_](�tJII±-�~ r'G[i-�
DESChIPTION OF WORK: New Addition Remodel Moving Bldg. Zon -4- Fire Zone
%
Size of Lot � � ��Q ` �[// �i f Sewage System Stories
Cr;nst. Dimensions o� Y �S G, Total Sq. Ft. Valuation
Fireplace �V�a�luation FdQh11
110
(Frame, concrete, brick, etc.) , `' � CAGf Chimney_1."�."—
Rooms- Baths -,t— Basement _ ly Foundation Const. 10
(Full, part, none) (Kind) (Niunber)
Heat. System r Ty a of Roofing Ext. Finish Int. Wall Finish/
Use of Bldg. No. of Units —/- Bedrooms
Garage or Carport Attached- d/ J 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. N
NORTH
SOUTH
M
I hereby certify information submitted is correct and there are no other
as shown. _ 6,t 7 / /
State License o.
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
Owner or Agent � � �.. - � � � Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ti . a" , DO NOT WRITE BELOW THIS LI"E i
-
Your street address will ht-ClUlde zone is
sewage Permit Number Issued Buflding Perm I R,,,-,ipt _Lqff-,�IlIssued
Remarks
Form 523 BIT (-,A.
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19110
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