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1978, 11-01 Permit App: N1305 Residencer Cour'v of Spokane. Washan4on BUILDING CODES DEPARTMENT, N. 811 JEFFERSON; SPOKANE, WASHINGTON 99260 APPLICATION FOR LAND USE OR STRUCTURE PERMITatp 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. 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 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 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 THI LINE Name of Own Architect Engineer_ Address Contractor//w Address WeIrJpine Q�� / Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number e ...../ etcy//Jd7% Address 75 Address 992m, Phone Phone Phone f2� �3rr� 1,1 / cy..0) A•46247 DESCRIPTION OF WORK: New dddi io Remodel Moving Bldg. Zon Fire e et1e Size of Lo �/ pry Sewage System const. `C ��//t�V / �[//� / i j�� (Fr., Conc.. B etc.) Stone Dimensiioons 2� Vel 21_1_2(v M�n,��_'� al SqFt Q/ Z Vg;nation fy� Rooms Baths LL Basem t FoundationConst d�/u ,61113 ChimneyCLG C Fireplace part. no Heat. Syste ALJ ype of Roofi Use of Bldg. (Kind) (Number Int. Wall Finish No. of Units Bed R/W WIDTH 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. Ik NORTH • 41a P/4 87/ I h by cert SOUTH Y-' Sat f Liiensp No. Ina. Ins. Cc ,No. RESIDENTIAL - COMMERCIAL REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed /702/22 ":241d-4 70 ion submitted is correct and there are no other structures locate**' on this property except er or Agent Date A LAND USE • • STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE (9,.tetio 0 DO NOT WRITE BELO THIS LINE /5-&7 i7 .� 1' Your street address -rill be 3°_]be zone is s Sewage Permit Number Issued Building Permit Receipt t9 U •sued OFFICE OF THE SPOKANE COUNTY PLANNING DEPARTMENT Dote September 28 ,19 78 Yo Ri il.ding Codes Department From P1aening . Department ,. Steve_Horobiowski Subject Permit_____ The Planning Department has reviewed a request from VERAVON C. ,, P E for the release of a building permit on the property as described on the attached affidavit.' It has been -determined that a building permit•should be issued -under the: provisions of RCW 58.17:210. This -memo and' atitached'"affidavi't um st accompany the building permit application. SH/JS/dj .)%46.4"4") a ie7s r• AFFIDAVI T 1, VERNoN d. 11046-e hereby certify that I purchased the following described real property: iu tC hinl.Snn? Add. P7n1 of s Y2 e oto / z 846 't _bA F. AJ 80 ' /4/0 in 19 77 , 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 2 day of Oa, , 1978. 0 c.o 4 Name w d •`LUet, . 952 o6 Ad .' ess SUBSCRIBED and SWORN to before me this c,,.,, tday of 13? , 1978. Notary Public in and for the State of Washington, residing at Spokane