1979, 03-20 Permit App: N2330 Residence Coun' of Spokane, Washing 'on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
G /,,.
/149
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. '
w Fi�1ke(RAPPLICANT FILL IN BELOW THIS LINE QJyu1�
' ?.-t ` t '-4v Phone `� `t1^z "�Lam" M
Name of Owner 2`"X r� �f�F Address 1 C c�i �' � �v, �_<'- _ �
A,,-;,h itect . V AddressPhone
Engineer_ Address -_ Phone
Contractor ''ff" y rl A 1 e+z+ Address N � (,
i Phone � ,-_ /,7.71
/ J )'
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number C1 y (�I
1 f �
l.l) 't_"3. 1 11-' IS. _ot'k IL) (-) li.� ''r '>1''1 /1 L ,At!e - —
CV
DESCRIPTION OF WORK: New Addition _ Remodel Moving Bids. Zoe / Fire Z ne
Size of L. r!5 X I'OOSewage System :ask tC= Const. w;''"
(Fr., Conc., Br. etc.)
Storie d I imensi ns •. ( I f` 10 Q�� Total Sq. Ft.900 Valuation __
10 0
Rooms ��tL Foundation Const. Co P.c r(/.'t`k Chimne rll�i"k- Fireplace / `' trS
Baths Basement y- p _
_ ,,))� (Full, part, none) (Kind) (Number
Heat. System •D� ' Type of Roofing CO 4,v"` n Ext. Finish 'I I-11 Int. Wall Finish 1�vy Lt."4"'
Use of Bldg. 1 Z e.Si�yae ''
"�Ce. � ~I� ( �
fi -� A — _ No. of Units Bedrooms
ROADWAY R/W WIDTHt®U 6
014 %711 PLOT PLAN h
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.
I,. NORTH State License No.
Ind. Ins. Acct. No.
aid,
-__,..0 ESIDENT A,L. COMMERCIAL
le- REQUIRED
Plumbing Permit
m Heating Permit
m
0 IP
Sewage Permit
i At
Plans Received
I Plans Checked
Plans Returned
w
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as sh�yn
Owner 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
DO NOT WRITE BELOW THIS LINE 3 3 J
Your street address will be /(J 5?2, rie• �_� xim.2'.
The zone is 7410 i
Sewage Permit Number Issued_ Building Permit i Receipt Issued
Remarks _
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
Date `4taat, . .0 ,19 7'
To Building Codes Department
From_ Planning Departmen Subject_ Building Permit_
The Planning Department has received a request from
111"Y Fi rr 4e r 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.
SH/JS/slt
dr cr/el
3-Zo-? 9
e r�
AFFIDAVIT
I, ov`ey P4teer
,
hereby certify that I purchased the following described real
property: L. i i - i a B 0 d;oe.SCLf FL rlce
in 19 y(o , 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 20 day of rl Arckk , 1979.
(
Name
/e6-di- tSe-A-
Address
SUBSCRIBED and SWORN to before me this Nd day of
Mouth , 19 79 .
1.11
Notary Public in and for the State
of Washington, residing at Spokane -
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