1979, 03-15 Permit App: N2292 Residence1
Conn* of Spokane, Washinc, n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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
97aa6
Name of Owner_
Architect .
Engineer
Contractor
Address e 9
Address
Address
Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Parcel Number
Phone / —,/ a.2 6
Phone
Phone
Phone
0‘,74/.3—�jL�Uri
DESCRIPTION OF WORK: New K- Addition
77 n/tea
Size of Lot
StoriegDimensions . 472 cGr
Rooms—� Baths—L
(Full, part, no
Basement%e1.,Z0-.-,
Heat. System EL 66 Type of Roofing
Use of Bldg. a
ROADWAY R/W WIDT
Remodel Moving
Sewage System
Total Sq
Foundation Const. (7-0,'L-/rif1
Ext. Finish 7-- 7//
Bldg. Zone / Fire Zone
s. Const.
,/ (Fr., Co '. Br., etc.)
F4 . Ft. O % i"- Valuation 6.--D 00
Chimney D Fireplace
(Kind) (Number
Int. Wall Finish]/ -e...
No. of Units Bedr
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
/a/rit
SOU TH
State License No.
dJ�
Ind. Ins. Acct. No.
may{_
SIDENTI COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
V•240/7 444.-4/0
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
Date
5/4577
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
DO NOT WRITE BELOW THIS LINE d v
Your street address will be 9 6 oC /�_ e zone 1s
Sewage Permit Nummber—�-- Issued Build; �g Permit 11 Receipt 77Q
Remarks —01946,1 «—.
Foran 521 Rlrin Cr„ -1.
1/2 EXCEPT
S, 154.32' OF
TRACT 91
ORCHARD
AVE. ADD.
N
/7
r
C\J
10
12
12
(\J
5
11000 GALS
5j
36
L)
10
IBERTY
•
10 22
I ,
X P.
"-JOINT
SCALE 1=20
SLAB
• OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
Dote 3 - �s
To Building Codes Department
From_ Planning Department
Subject_ Buildinq_Permit _
SH/JS/slt
The Planning Department has received a request from
ROBE/CT E. Diav/S 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.
/S--- 7 7
s
• •
LEGAL DESCRIPTION FOR ROBERT E. DAVIS
The E 1/2 except S 154.32 ft. of Tract 91, Orchard Avenue Addition
in Section 6-, Township 25N, Range 44 E.W.M.
I,
• •
AFFIDAVIT
Robert E. Davis
hereby certify that I purchased the following described real
property:
E. 1-6 except S. 154.32' of tract 91 Orchard Ave. Addition
in 19 79, 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 /f) day of ,49,0- , 197.1
/`� .
Name
2 L -S
Address
S(,
it)92
SUBSCRIBED and SWORD to before me this )6 --day of
E.
, 19 2/.
Notafy Public n and for t State
of Washington, residing at Spokane