1976, 10-06 Permit App: L5750 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT . 41u
GENERAL REQUIREMENTS PERMIT FEE ate?
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
defind 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 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
Name of Owner_Alldre4 M. Teri.Ls Address ELLA, 14508 4 6th: Phone 9214-9730
Architect Phone Engineer Phone
Contractor Andrew M. Terris Contre.ctinz Address East 14,508 - 6th (Toy 14902) Phone 924-9780
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 4, _Block2, Ridgemcnt Estates. - Parcel 25541-0201:
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone 1 Fire Zone 3
Size of Lot 148.42 i x 99_86, x 100' x 333.8' x 195.461 Sewage System&ever system Stories I
Const. Frame Dimensions 57 x 26 house - 20 x 23 gar. Total Sq. Ft. 'c.I i;U Valuation 51+,500.00
(Frame,concrete,brick,etc.) Dg l 1 10 x 20 att.
6
Rooms Baths 2 Basementu ,Foundation Const. concrete Chimney block Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System FAE Type of Roofing shakes Ext. Finish T1-11/Trick Int. Wall Finish drywall
Use of Bldg. residence with double attached garage and deck No. of Units 1 Bedrooms 3
Garage or Carport Attached double attached
Private Detetched
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.
NORTH State License No.
AN-DR-EM-T 258G;,K
Ind. Ins. Acct. No.
Plot plan attached REQUIRED
Plumbing Permit
rn Heating Permit
m a
VI H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I he eby cert y informati.n u.mi •. • rect and there are no other structures located on this property except
as shown.
. . _ r t II _ • 10-6- 6
Owner or Agent Date
A LAM-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 ben - 4 # 5 — i�� _#1 - II, le zone is
Sewage Permit Number Issued Building Permit Receipt`3 /g7 Issued
Remarks • '
O
NForm 523 Bldg. Code
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