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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