1972, 04-04 Permit App: J2513 MHCounty of Spokane Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i
GENERAL REQUIREMENTS PERMIT FEE ......... I- ............
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:"Mater 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
pproved by the County Engineer.
Performed in accordance with stakes. Points of ingress and egress must be a
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.
wh chlareVenforeenble throughrciviluactionCkCountysOfficialsocananot bringdactionnSoaenforceecovenantsior dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner C-1113eKT ZN-touT Address — 1111
Architect ?hone Engineer
MIKE CHASTEK Address
Contractor E. 19224 Montgomery
Otis Orchard, Wash. 99027 etc
Legal Descr � _ `�mp`�te description frorp, dee to �eceip�
a
cu�'nt- a
Phone
Phone
Phone
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. F�tion
Fire Zone /
Size of Lot ' l 1 "-/-/ U `C ° Sewage System Storigs —9_- --
Const. � AO --e- Dimensions laY � Total Sq. Ft. dh
(Frame, concrete, brick, etc.) Q/j(�}�E,) 1CA�i ,,
O Fireplace
� p U
Rooms Baths �r.Q„4 -^►'
Basement Foundation Const. Chimn,YAJ(Number)`
• (Full, part, none) (Kind) W�Z7�_
Heat. System Type of Roofing °'� Ext. Finish Int. Wall Finish
Use of Bldg. o �� No. of Units— Bedrooms �--
Garage or Carport Attached Private Detatched
I
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location
nn f esewagexistingsand
probosed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (s)
tem and water supply lines. License No.
4A
1
NORTH
+1-1)C011Q-
SOUTH
State
Ind. Ins. Acct. No.
---------------
REQUIRED
Plumbing Permit
�w Heating Permit -
M
Sewage Permit _
1
Plans Received -
Plans Checked _
Plans Returned -
Plans Picked Up.
`Plass Mailed --_-
I hereby certi�f-yam ninAfor�ionsubmitt�e�d *s cor eeteet .and there are no other structures %l�occat on this property except
as shown. U UI In 1. !it 1/ 1/ /al T t3,.11 /,I / (L 17L
UMner or Agent Ddte'
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 Permit Number -
4 war ks
umberRemarks
Form 523 RWM r-4.
DO NOT WRITE BELOW THIS LI"G
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/ �'FA(I(f 101n
Issued
Building Per4it
The zone is 1
Receipt L=
% Vt ffo— Eltat',
INCORPORATED
17&
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Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
tih 6011,�
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