1971, 08-18 Permit App: J0417 MHe
i
County of Spokane. Wash ngton
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE.
WASHINGTON 99407
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.
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.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
least 25'FisMrequired, LINES. In most
side yard,zones and 15, side yardrfrom acflankingnstreet,sandbac251 rearthe
yardfront
areproperty
requiredline, of at
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 mus e
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.
nd
whichlareVenforce ble throughrciviluaction. Ccheck ountysofficialsocanants or not bringdactionntoaenforce covenanements tsng with the land
ordedications.
APPLICANT FILL IN BELOW THIS LINE Qlc�
Name of Owner '--- It 1-4 o 2,
Architect_
MIKE CHASTEK
Contractor E. 19224 Montgomery
Legal Descl�
Otis Orchard, Wash. 99027
)CA)(! n Address �2
_Phone Engineer
Address
co m Tete description from deed, to recei t, etc.
T� Q, rZ Qc�k 1 0 1�7 CIL •t_-
Phone
Phone
Phone
DESCRIPTION OF WORK: Nem— Addition Remodel Moving Bldg Zone
Fire Zone
1 Sewage System Sto�e
Size of t , '!� 000
Const. - Dimensions 6 Total Sq. Ft. Valuation
(Frame, concrete, brick, etc.) t Qyy,0 J
Rooms— Baths �— Basement N Foundation Const. ^- �c Chimney N Fireplace
/} (Full, part, none) (Kind) ( umber)
fZX� e T of Roofing Ext. Finish Int. Wall Finish «-�
Heat. System Y�� PP��
NA _ I11 . • � L _ _ /� -fib—,P No. of Units Bedrooms
Use of Bldg.
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.
State License No.
NORTH
I hereby certify
as shown.
SOUTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
�n Heating Permit
D Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
subm' to is c r t and there are no other structure located on this property except
Owner or Agent bate
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 /
Your street address will be
w' e zone is�� »1
Sewage Permit Number Issued Buil ing Per Receipt 7.SD 3 Issued
Remarks
Form 523 Bldg. Code
�� 0