1971, 12-04 Permit App: J1477 MHip
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PEI�IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kindd or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spne County Building Code and Zoning Ordinance. Construction is subject to inspection.
WA . 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
Name of Owner
Architect _
Contractor
MIKE CHASTEK
E. 19224 Montgomery
W
d
h
Otis Orchard, ash. 99027
Legal Descr complete description from deed tax rec•ipt, etc.)
L. IS Pc,ca
Ss. z - 1x1 C
t� 1 Address q�tq �dv. Phone g��i x'33
Phone Engineer Phone lei_ 5?fr-0
Phone
Address
DESCRIPTION OF WORK: New k Addition Remodel
Size of Lot�7a lc /Xi '
l
Const na-^eirt Dimensions .2o / ' '
I (Frame, concrete, brick, etc.)
i Rooms Co Baths 1 Basement t►J Foundation Const
a (Full, part, none) fir`
Heat. Systeme' p Typ of Roofing %� `
Use of Bldg. v\ OI112 ll`Q
Moving
Sewage System r,
Total Sq. Ft. C n t 1 r
Chimney N 0 Fireplace Ai °
(Kind) (Nu ber)
Int. Wall Finish (4.33
No. of Units Bedrooms 2 --
Private Detatched
Bldg.
Com. --t- D,
xt Fi sh-'
Garage or Carport Attached
Fire Zone
Storie
Valuation /0 f 0 rla
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
NORTH
\)Lcto,„
cocre,,,
1 hereby certify infor
er shown. , I
SOUTH
M
-4
State License No.
Ind. Ins. Acct. No.
REQUIRED . .
Plumbing Permit V
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on t is 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.
Your street address will be
Sewage Permit Number Issued
Remarks
D • NOT WRITE BELOW THIS LINE
Buil
g Permit
e zone is
Receipt3 f Issued
Form 523 Blda. Code
7) -4