1978, 10-02 Permit App: N0840 ResidenceDate
'VED A
1 � •
bounty of Spokane, Washington
DES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
GENERAL
99201
TION FOR LAND USE OR STRUCTURE PERMIT /
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
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, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
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 buildings (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
Address Phone7 i`1' 7
Address Phone
Address Phone
Contractor -✓.t a(� (,Qi Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 10``' :i
�/ _
13 LK 9 'J .cam X C.' J. .1n lf- �,X 0 . �.ti f / 1- X C.. i -f lc.JAy
RGAUVAY RJW WiDJF! 50 — FLAA/KM/ 2 4' "
DESCRIPTION OF WORK: New ! X ' Addition Remodel
Size of Lot /gam X 26
Stories i_Dimensions . 74
Rooms Baths / Basement
(Full, part, none
Heat. System /'_ r i Type of R fin. / ,t./ ,.v_ Ext. Finish _es /1
i
Use of Bldg. 'ip� s ' e✓I-
PLOT PLAN
Moving Bld Zon �_ Fire Zone
Sewage System tOf' fConst .t�
(Fr., Co c., Br., etc.) ,
Total Sq. Ft �� , a, kation
Chimney/L�kFreplacai
(Kind) (Nt..i!rper
Int. Wall Finish 11.,j/'11 W/1
No. of Units _Bedrooms
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
1
NORTH
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m
Tr
N
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce if inforij1on submitted is correct and there are no other structures located on this property except
. ,( �d�
�'t�Ltz�ij v �-7'' /1��..2/ 7 e
Date
as shown
x
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(.M -ate DO NOT WRITE BELOW THIS LINE
Iour street address will be C /,34-,,t) 7 &I -e_ The zone is
Sewage Permit Number Issued Building Permit%Receipt g e/Gl/ Issued
Remarks I�
•
Form 523 Bldg. Code
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
Date September 28
To Building Codec f.partment
From._P1anning _Department, Stere Horobiowski
Subject_ Permit
,lq 78
The Planning Department has reviewed a request from :01.0l M. e ?mPBEGL
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 underthe
provisions of RCW 58.17.210. This memo and attached affidavit must accompany the
building permit application.
SH/JS/dj
(P66 -4A, a, /97r
AFFIDAVIT
1, �44N y1. eibmpBELL ,
hereby certify that I purchased the following described real
property: 4I 9g 1' (%Pit&. , 42-L .G S `o6. G' a ---•P
e,i t c w. 4I 0
in 19 41, 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
day of
, 1978.
Address
SUBSCRIBED and SWORN to before me thisc day of
, 1978.
'n
Notary Public in and for the State
of Washington, residing at Spokane