1979, 02-15 Permit App: N2021 ResidenceCity of Spokane, Was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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.
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.
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 IA
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 Stat
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 rendre. iv.. Terris Address'Acay 119C2 — Sjnlcrne. 99214 Phone 924-978CArchitect Address Phone
Engineer Address Phone
Contractor Andrew M. Terris Contracting Address 17,,OX 14902 — :% �ckane ;=214 Phone
i 24'..97`.0
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 1, block 7, Witohfesrd ltcres Tracts
Parcel 4 2-4 4 - 0ioo)
DESCRIPTION OF WORK: New ! Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage System Septic Const. frame
2.000(Fr., Conc., Br., etc.)
Stories 1 Dimensions ,C$ x Jot 'nonce, L,c,r_ , & df'rh /0X24 Total Sq. Ft. 1/!EM Valuation ,'
Rooms _1 Baths Basement -r FFoundation Const concrete Chimney ireplace 2—f4ET'L
Full, part, nonce (Kind (Number
Heat. System Fk aGT Type of Roofing =,',:-1,:e q Ext. Finish cedor Int. Wall Finish dl'S:ail
Use of Bldg. qi n-.-", -fp-111y res4 d?nr•e, ,gF,rage a»d elect. attached No. of Units t Bedrooms
Size of Lot 1M' X 3001'
1
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.
N
NORTH
LLE ATTACHED PLCT PL+al's
SOUTH
correct and there are no other structures located on this property except
2 — rD
as s
tify informs
Owner or Agent
Ail4h C4 p
State License No.
..,23-0/ i T—DP EM -2- °[ K 6/
Ind. Ins. Acct. No.
/1-
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed /�
O'er/ / 4/794IL
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ON MAP
DO NOT WRITE BELOW THIS LINE
Your street address will be ;;a,ith 131 1 j,, F•rlr;- The zone is AC j21(.I422TURA) 1,fr
Sewage Permit Number Issued Building Permit 41-19111 Receipt "72 7L Issued
Remarks Miql.E.d G/4-17
Form 523 Bldg. Code
2-0
45
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