1972, 08-25 Permit App: J4152 MHs
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT //
GENERAL REQUIREMENTS PERMIT FEE_._ j/ ........
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.
NATER. IkA ef^�pply must be approved by the County and State Health Departments. Where work on waterco'Eft%ctions 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 Eegineer 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.
o APPLICANT FILL IN BELOW THIS LINE (�
Name of Owner /� `t ° �C Address �� 1 r/ 02 f r% M.A,] C oLee, Phone
Architec MIKE CHASTEN _ Phone Engineer Phone
E. 19224 Montgomery Phone
Contract Otis Orchard, Wash. 99027 Address
Legal Description of P op rty (Give c m Tete description rom deed, re eipt, etc )
I g AP_ 1�,. ` _ 9 �A-�
S-5_5 2-,- I'L I
DESCRIPTION OF WORK: Newy Addition Remodel Moving Bldg. Zone --I— Fire Zone
Size of Lot 99 x I S y I X /00 Sewage System 5��� (�' Stories �—bu-
Const. 4h1E Diimensions
(Frame, concrete, brick, etc.)
Rooms Baths Basement N J
(Full, part, none)
Heat. System f"`��TTypk of Roofin
Use of Bldg. I " I 4Vfrz_1W
Garage or Carport Attached
X SQ Total Sq. Ft. % 0 — .-Valuation X_�v �A ,
Aln p /Oc/rl /Vy Fireplace
Foundation Const. Chimney
(Kind) ( umber) /
g e Ext. Finish 2 Int. Wall Finish UJ P ea (
/ ` &0 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. L" nse No
NORTH
SOUTH
I hereby certify informati ubmitted
as shown. V ,
/
State ice
Ind. Ins. Acct. No.
-------------
REQUIRED
Plumbing Permit
n� Heating Permit _
Sewage Permit _
Plans Received _
Plans Checked —
Plans Returned _
Plans Picked Up.
Plans Mailed
are no other structures located on this property except
Owner or Agent - v v Date
NSTRUCTION COMMENCES.
A LAND USE OR STRUCTURR PERMIT MUST BE ON THE PREMISES BEFORE CO
THIS IS NOT A PERMIT.
a _ , - , ) DO NOT WRITE BELOW THIS LIRE
Your street addrs-will he t
Sewage Permit -Number Issued
Remarks
Ala 1P 4W
e zone s y
ing it '• RP�Pipt Issued
I
INCORPORATED
,7-
0
Barker Road anhuckeye
Greenacres, Washington 99016
WA 4-9880
s .