1978, 03-06 Permit App: M5142 ResidenceCtnty of Spokane, Waslogton
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.
rmed until staked by County Road Department and work must be
COUNTY ROADS. Work on street right-of-way may not be perfo
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
Name of Owner tiriGri:W i• Terris Address
L. nz12 vera. Crest Phone
Architect Address Phone
Engineer w
Address Phone
Contractor 'nur'Ferris ;,or.
Ctlrlb Address CC` oar a1i �^1 Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lct o k 5 Roti.ford Acres Tracts — ;iokth 15 2 ' ircer cit
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zone 1 Fire Zone
�n Sewage System r+ * onst. frE-_,ne
Size of Lot 1, C r X Por., Conc., �r_ etc.)
X41 x 5C1 15CC sq' t 1-80 s Total Sq. Ft.' " Valuation '%'�CCC•�'C
Stories 1 Dimensions ^
'7 .0 'a concrete Chimney M_ -tai Fireplace(
Rooms 5 Baths Basement 'a t Foundation Const. Y
Full, part, non— (Kind) Number
eds Int. Wall Finish arJh`�17
Heat. System TTAR Type of Roofing sh^'-es Ext. Finish r
t •, ..� _ _ y 1 p �• No. of Units !-Bedrooms
%
Use of Bldg. � � with double C r �ar:a�e Under
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 stree 5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
(Jd NORTH RESIDENT — COMMERCIAL State License No.
1 2 '7 ���; a1
C14 1 Ino. Ins. Acct. No.
a5/3_
REQUIRED
Plumbing Permit
nr Heating Permit _
a
N Sewage Permit _
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
Ilhej�by 4rtify informattion su gritted is correct and there are no other structures located on this property except
as
Owner or Aged `— Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THISJS NOT A IT -
17
%
Youi street address will be
Sewage Permit Number
Issued
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone i
Receipt Issued
Remarks —
ANDREW M. TERRIS CONTRACTING"
NEW HOMES - CUSTOM & SPEC.
P. O. BOX 14902 924-9780
SPOKANE, WASHINGTON 99214
r