1972, 08-21 Permit App: J4153 MH41k
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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. 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.
SE`kGE 4,Y&TEM. 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
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
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
/71
Name of Owner
/1426-L goon
Architect_ I MIKE CHASTEK
Contractor E. 19224 Montgomery
Otis Orchard, Wash. 99027
Legal Descr ption or Property (Give complete description from deed, tax
Address ` L/ 01,14L om e 2 Phone
Phone Engineer Phone
Phone
2 -3 r1
DESCRIPTION OF WORK: New �dition
/ Lv ' �c /S`L / o o
Size of Lot
Const 4 owe_ Dimensions .2 C 5 C
(Frame; concrete, brick, etc.)
Rooms Baths I Basement fv
(Full, part, none)
Heat. System
Use of Bldg.
Remodel
Moving Bldg. Zone ! --- Fire Zone J
Sewage System ca. `+ Stories
Total Sq. Ft. 3 L3 yyValuation 708
Foundation Const
T e of Roofin
tlA
Ce vw e.+ {—
binJCj
Ext. Finish
CO
Chimney
Garage or Carport Attached
t1/4h) Fireplace N U
(Kind) (Number) •
Int. Wall Finish 41.1307.1/ HSI
No. of Units Bedrooms
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.
ITI
NORTH
0-30 �k
GLt�A'
m
is
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
SOUTH
I hereby certify information sub ted is c.rrect and there are no other structures ocat
as shown. %� A-6 r -2
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT,
on this property except
Tour street address will be
Sewage Permit N -umbar
Rewarks
DO NOT WRITE BELOW THIS LINE
Q. � 01141.80
Build r'g Permit
Issued
e zone is
Receipt
Form 523 Rldo_ Cedes
Eltatei.
INCORPORATED
'
Barker Road and Buckeye
Greenacres, Washington 99016
WA 4-9880
/tile ( ( 1 .2
3 AA\ DA -14o i"A.