1971, 09-16 Permit App: J0774 MHA
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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. 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.
Rnd
ents
whichlareVenforce enforceable throughrs civiluld check action. Countysions Officialsf ocanants or not bringdactionntoaenforcemcovenantsing with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner A U fvtu N Address
Architect
Contracto
Legal Desi
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MIKE CHASTEK
E. 19224 Montgomery
Otis Orchard, Wash. 99027
_Phone Engineer
Address
0 (r)—
( 23i/ It)tifi$jrmsry Phone
( Phone
Phone 92._.S,Z.�
e. complete description from
L4 -
deed, t receipt,?etc.)
02tf74
ro
DESCRIPTION OF WORK: New
Size of‘W 7 � /)
Const. (t(Li ►`2 Dimensions
(Frame, concrete, brick, etc.)
Rooms
Heat. System
Use of Bldg.
Addition
Remodel
Baths Basement
I' o Foundation Const
(Full, part, none)
Type of Roofing
Moving Bldg. Zone Fire Zone.?
Sewage System Stories_I
Total Sq. Ft. , . Valuation /( O&)
tic' Fireplace N `t
(Kind) (Nun$ er)
Int. Wall Finish ;j r4.-
No. of Units ( Bedrooms 3
Private Detatched
t
Ext. Firytish
l',3-teLY,A.q
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
Chimney
u;
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
c)Q0-i)
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify 'nfor tion sub tttted is correct and there are no other structures
as shown.
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.
DO NOT WRITE BELOW THIS LINE
0t.
Your street address will be
Sewage Permit Number
Remarks
f92-eY
Buildin
Issued
Permit
01-717._=7;77.4/-,,
e zone is
Receipt
-Ai 4
Issued
Forte, Ria„ r, 1
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INCORPORATED
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4.0,t)/
1
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880