1979, 04-26 Permit App: N3088 ResidenceCov 1 y of Spokane, Washivton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT "'3"�
PERMIT FEE
GENERAL REQUIREMENTS
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. Con-
struction must have inspections.
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 requited 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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 building (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
99200
Name of Owner_
imture(Z EM&EL
Architect "
Engineer_
Contractor "SAm E'
Address 17 is N- 14141.4110 -
Address
Address A
Address S'/-}/YI E
Parcel Number 1? S'<L/ — 0603ct
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
LEGAL All-,
Phone 9a6-4,1710
Phone
Phone
Phone
DESCRIPTION OF WORK" New
Size of Lot gni 1kt, Igo,
inb$AI Moving Bldg. Zone 1 Fire Zone 3
Sewage System StPisConst. MS
�Fr., Conq„ Br., eta) W
Total Sq. Ft, Mt0 Valuation 'L�LLI%.
t t• Fire lace
Chimney p
(Kind) //���n,((N��umber
.Ext- Finish ��P SIDL- Int Wall Finish l r.W14-L,L
Stories"JE Dimensions aaff x i(� 'I" %O
Rooms 'J3,f�/ Baths_L Basement rwcL. Foundation Const. Cage -
(Full, part, none)
Heat. System £ " (Viz. Type of Roofing /.._01-k P .
Use of Bldg. Pest eeuce b E LK AY -7 -
ROADWAY R/W WIDTH (0Z
No. of Units Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of ex is
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewa
tem and water supply lines.
NORTH
/44 P
FRO➢aSED
Roszetiee
R.zp-2.a.c a. /V-/a,,s -
(9
.3S
SOUTH
ng
e sys-
State License No.
OK
Inc. Ins. Ac t. No,
tn/L(/LtiG-/QL-
RESIDEAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
'. Plans Returned
11i Plans Picked Up
Plans Mailed
I hereby cer .• y information submitted is correct an here are no other structures located on this property exce
shown.
• Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUS BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLEC
DO NOT WRITE BELOW THIS LINE p D D
Your street address x111 be / Q � 41 .2e zone 1s Ike
Sewage Permit2Number /�- Issued Building Permit Receipt Issuart
—
Remarks t Cdr �����77777-� —��2� L3 4 • s i
OFFICE OF TIE
SPOKANE COUNTY PLANNING DEPARTMENT
. o
Date a 2S
To Building Codes Department
From_Planning Department
subject Building Permit
,191`t
The P panni g Dep9tme has r ceived a request from
j for the release
of a building permit on the property as described on
the attached affidavit/legal description. It has been
determined that a building permit should be issued
under the provisions of RCW 58.17.210. This memo
and attached affidavit/legal description must accom-
pany the building,permit application.
1
I,
AFFIDAVTT
(4°./ea
1
hereby certify that I purchased the following described real
property: %ff.8 ANA/ f r'l Pl- gr rsf•e I` o/craF r/c
CSa6'Tf'
f/A..cf of hers
/#f,W1 o2 IN BCccV OF 1. /a rimSdi`/C
,tb.0/ ria A/ A S Ae R IA Ar [Nfl oP Ree 0 Thi
r/Lvme ofj°Zi4rs 1,4 re 41 i/vrueco,,veyd1='TFo/€/fY.t
ST-fre aP P/Asf /mg T ty
in 19 99, that at the time that I purchased the above des-
cribed property, I was unaware of the fact that the property
had been subdivided in a manner that did not fully comply
with the provisions of RCW 58.16, et seq. or RCW 58.17, et \seq.
DATED this Id— day of , 19 29
Name
/2/fiv 14/4.6Atijr Qo,
i;Aso.e/4Af.cJ /y -11S/-'
Address
SUBSCRIBED and SWORN to before me this g day of
ejiYAA.71-/ 1927.
Notary Public in and for the State
of Washington, residing at Spokane