1979, 03-13 Permit App: N2237 ResidenceCou ' of Spokane, Washinr-Lon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
pO
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 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
Name of Owner
Architect .
Engineer
Contractor E7
Legal�Description of Property (Give completedescriptionfrom deed, tax receipt, etc.) Parcel�Number /...2..--7,..--1/— -`-i..)-ii
/-r 4,-/ /
/— :-) �C� ,�%l l . � '� — /_� , t_Z` A 7 _AIAA), t�f.-�, �= , /• 1/'', .G r , 7 t_.1 771, �. ',f ; ,- /-j a y -.:i IA!, L fs
/ :; T/. .e:; I /,..1- - ''f1' t> - PA le. /, L i.! L AGS 7-Z-, .: : 4..-itf• T W e i✓ , ; i,i>..: e1 i:: N
77/, ,fid::..► . Y 'w - - .j - ,,,..--`::::5 "1--` A L� . i T;
Remodel Moving Bld Zone / Fire ane
Sewage System'''',..•;',...:);
' ('; onst i�1'""`3—
c ) (Fr., Conc., Br., etc.)
t- 4 X/ 9 t j, Total Sq. Ft. Y Valuation 1 l 7%
Rooms .: Baths / Basement--- 4'? Foundation Const ��``C-0,-1 L- Chimney Cyt Fireplace �iV r
(Full, part, none) ti iQi
(Kind) (Numbber ,,
fing - c 44-.1,, i:L Ext. Finish / 4_'." Int. Wall Finish _ _:,1 P!'r%( -
No. of Units Bedrooms .;_
Address. c9 t L1_;/ .�+�-. Phone C '/ -
Address Phone
Address Phone
Address Phone
DESCRIPTION OF WORK: New X Addition
Size of Lot 7 •1 �� 1
Stories -?"Dimensions ii
. n
Heat. System( .-L7'7 I I Type of R
Use of Bldg.
ROADWAY R/W WIDTHs—..
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
Xtadc.J Pita 40
SOUTH
State License No.
Cf't 'r ,ti' /',f.f_L-
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3fr 5V2f #42.4.44 01/0
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown
r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
..-74 0 DO NOT WRITE BELOW THIS LINE
- L
Your street address will be � , 07 7,2 / __l.,�;� -y _The zone is ( � /�f.C�iL�LG'1�� ,KI,I4 ►-
Sewage Permit Number Issued Building PermitN22,�% Recei t
--- P ,76 4/
Remarks
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
Date 3-/3
To Building Codes Department
From_ P1_anning Department
Subject_ Building Permit
S H/JS/slt
The Planning Department has received a request from
W�IiIED lig 6r4etteTio/t/ 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.
°IttC*11./14t4t1
313-79
AFFIDAVIT
1, 4hh1f TO aDAJ 3772aea"/DA)
•
hereby certify that I purchased the following described real
property: SEE 47740aI'1
in 19 7 9, 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 t3 day of
rn�act-!
, 19711..9.
Name) -zi. Z X124
c /a
Address
SUBSCRIBED and SWORN to before me this day of
, 192_7.
Notary Public in and for the State
of Washington, residing at Spokane
LEGAL DESCRIPTION FOR WHITED CONSTRUCTION
Orchard Avenue Addition, portion of Block 174 beginning NW corner; th.
E 75 feet; th. S parallel to WL 100 ft; th. E 15 ft; th. S par to
W In to S In; th. W to SW corn N to POB exc. S 155 ft and exc. street.
104 ; 105;
107
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