1979, 01-02 Permit App: N1775 ResidenceCoup j of Spokane, Washin $on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 22.,92'
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 performeo 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 SPD a. c q 2ps"
." p
Address J4 33* HER,' Phone 32(! ^?34
Address / Phone
?ilia Phone
Name of Owner MARC_ kOEGKS
Architect .
Engineer_ , ^ p
Contractor EW W C�aN ER_ Address S . 1501 BI- RD ttPhone /.? .6-/33
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 22.Sgt4 " ZS/ 3
14/ -1-'
Address
T 1 .'• .�,� • •
DESCRIPTION OF WORK: New Addition
Size of Lot ! 'f t x 3o
Storiesil&
Rooms
Remodel Moving Bldg. Zone / Fire Zone 3
Sewage System SSI rie. Const. r IZq'M'
(Fr., Conc., Br., etc.) 0
/776 Vaion 5'700
ney /MM0Nlu9 rl—M
eplace AS Y
T 11 (Kind) (Number
G5 '4 i�/��All n .Wall Finish .t RyL(4/L,rL..
o. of Units Bedrooms 3
Dimensions z��X toff -i" �O1X2'7 Total Sq. Ft.
Baths__ Basement PART Foundation Const. Go1�ICiR.Crr _ chin,
(Full, part, none)
Heat. System FL$ i F A Type of Roofing CEDAR sitAitaExt. Finish rtAK
Use of Bldg. gE-S/DEtsJCE d- hra:1ACAS22:-ISI(Z
ROADWAY R/W WIDTH=
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.
m
NORTH
SOU TH
State License No.
D% 074 P'/ I--.
Ino. Ins. Acct. No.
- 747
RESID NTIAL OMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ertify ,-nforytion submitted is correct and there are no other structures located on this property except
as show
tt% , : Jikp. 2,Icrrt
Owner or Agent 7 / S Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE,
DO NOT WRITE BELOW THIS LINE
oWMAr -t -79
Your street address will be
11
s� it Jr, ! - . ' ' _The zone is AK-� R1GtArt—TU. P.AL
Sewage Permit Numb r Issued Building Permit . Receipt t/&4/4V. Issued
i
Remarks eetin aX �a /G - e/0 � j to lnip - T
AFFIDAVI T
1„9;', '( 16 (-f'� k. J
hereby certify that I purchased the following described real
property: 7/-k-__ .Scr I,rt
rc"c_1
= Tk �
r
1,)6',711 -1)(
in 19 , that at the time that I
F /rc
P4/9V- 104 C/4176( 1/ Lie 14,z)),)
1 /1 , ren•', (..._o;. 4(c� '7 146
purchased the above des -
22 -ZS/3
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.
rtY
DATED this day of -J/9)1,1„1)-}1<yn , 1971;,
cliG1/0
Name
‘x'c y
`•
Address
SUBSCRIBED and SWORD] to before me this ;,,,,,,(_day of
,
c in and for the
State
tate
of [ashington, residing at Spokane
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
Dote September 28
BuiJcti rods Department
1 Planning Department, .Steve Itirobiowski
ect Perm“
e Planning Department has reviewed a request from OSA C EOgeoe.S
r the release of a building permit on the property as described on the attached
fidavit. It has been determined that a building permit should be issued under the
ovisions of RCW 58.17.210. This memo and attached affidavit must accompany'the
ilding permit application.
/JS/dj