1978, 04-03 Permit App: M5534 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 42 7
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. 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.
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APPLICANT FILL IN BELOW THIS UNE
Name of Owner
Architect Address Phone
Engineer �f Address Phone
Contractorf Z- t _ ' Address
Address rS /�'U"{`M-�'�� Phone 7
Legal Description
ojreorty Give �%wrr)plLWlte de iptio o x receipt, etc.) ,i arc tuber
Q C
Phone
// -r/e)
DESCRIPTION OF WORK: ewAddition
o'-7/90
Size of Lot
Remodel
Moving Bldg. Zone
Fire Zone
Sewage System Const.
Fr., Conc., ,.c ,
Total Sq. Ft ?` Valuation s c//
Stories I Dimensions c2 / 'V3 (d ' * l eCe.
Rooms Y BathsIIFu pa ,
6 Type of Roofing
Basement F�fJ Foundation Const 7 ... Chimney 1=2— Fireplace
TI rt none)
Heat. System
Use of Bldg.
i (Kind►
(Number/7
FF'�nrsh Int. Wall Finish
4044/ 4/4
No. of Units Bedrooms 2 --
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-
and er supply lines.
NORTH
SOUTH
Ind. Ins. A•ct. No.
COMMERCIAL
Plumbing Permit
ns Heating Permit
Sewage Permit
and there are no other s
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Agent Date
A LAND USE STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THINS NOT A PERMIT.
447 j
ed on t'is property except
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Per t Number
Remarks
Cp
F 9/ 7
jssued Building Permit rj--773,7
The zone is
Receipt
Form 523 Bldg. Code
SPOKANE COUNTY SHORT SUBDIVISION ORDINANCE
-CERTIFICATE OF EXEMPTION -
Whereas, the Board of County Commissioners did, after public hearing on March 9, 1978
adopt the Spokane County Short Subdivision Ordinance, and
Whereas, the Board of County Commissioners in adopting this ordinance did provide for
certain activities to be exempt from short platting activities, and
Whereas, the Board of County Commissioners did further provide for these activities
to receive a 'Certificate of Exemption' from the Short Plat Administrator prior to
the release of a building permit, and
Whereas, the Short Plat Administrator has received a request from soL)/C )16t...777)
for a 'Certificate of Exemption' for certain property located in the unincorporated
teritory of the County of Spokane, and
Whereas, the Short Plat Administrator has reviewed the evidence presented by the
applicant and all other information available, the Short Plat Administrator hereby
finds that a certificate of exemption should be and hereby is issued for the following
620 I 731 .4 04 7 .002. & q.4,,ALIc s
propertR it -g- .5 pe.)(
6/421z-LAL,- eg) iatu./uak.iulAg -tu- CS -PS C) 8Ayr)]
and shall,,e subject to the following conditions: .(\ eiJK)
clTLA-t.o. at- G
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
DATED THIS
1
Short Pl Administrator