1978, 10-02 Permit App: N0799 ResidenceCour ' y of Spokane, Washir ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
ii
APPLICATION FOR LAND USE OR STRUCTURE PERMIT`'
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 performea 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 ,SPOKANt ggaoQ
Address S '17161 'fl PAWAy Phone `l Z e atS 3
Phone
Name of Owner _PON G RAUFORP
Architect .
Engineer Address Phone
Contractor G:. R.Ili Lt7FORD CON,S'jRI/CTRIN
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number /6S-4/-06, 41
N 6'? ' o F- u1 KS"i E_ '7'H£ S Op St—Dc( 33 � Xc. THE. 14 1244 OPPC PCr LM LtI J
sic- 16-
Address
Address S. 47/A ` pAwAy 792,6C, Phone 9267
DESCRIPTION OF •WORK: New
Size of Lot _R''iK g9/
Addition
Remodel
Stories Dimensions �'!f
Rooms ,i- Baths_ Basement
(Full, part, none)
Heat. System() tit FA Type of Roofing (1.0-14440,
Moving BI g. Zone / Fire one 3
Sewage System Const
(Fr., Conc., Br., etc.)
Total Sq. Ft. 7t 4 Valuation
Chimney ,V/4 Fireplace_ }..
(Kind) (Number
Int. Wall Finish i
Foundation Const.
Use of Bldg.
Ext. Finish 7—Ji/
No. of Units Bedrooms
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.
NORTH
SOU TH
I here e rtify inf mation su
as shown.
m
State License No.
o PC_
Ind. Ins. Acct. No.
REtir5E1—\11 TTa - COMMERCIAL
REQUIRE41"4111111-1
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Date
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMI
ERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE.
dpi NWr7 DO NOT WRITE BELOW THIS LINE
Your street address will be l� t -)�J- -fit �� _The zone is f �,j�IC�.ILf/ML QB
Sewage Permit Number Issued Building Permit Receipt 8 7 Issued
Remarks
For 523 Bldg. Code
AFFIDAVIT
I' ke te -fro
hereby certify that I purchased the following described real
property: it/. 19'jW F?' 0,/ s Ara 33,
.2Z Al. /20' oeitzt.....A.
in 19 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 olitirOday of 5%rjrirp.--JKOLVZ
, 1978.
Name
4:43q4)( 5PPOTANIWAr-
tregAtire 14)1154e
SUBSCRIBED and SWORN to before me this cffiZday of
1978.
Notary Public in and for the State
of Washington, residing at Spokane
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
Date September 28 ,19 78
To _ wilding Codes Department
From _P1 ann.i ng . Department. . Steve_ Horobi owski
Subject Permi t
The Planning Department has reviewed a
for the release of a building permit on
affidavit. Tt has been determined that
provisions of RCW 58.17.210. This memo
building permit application.
SH/JS/dj
request from /Ze,a
the property as described on the attached
a building permit should be issued under the
and attached affidavit must accompany the
keit"
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