1978, 06-01 Permit App: M7370 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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. 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 j. -G Et 4Q. 'ivZ.S Address I2.2.1 it,%u- C-4(v\h 'Phone R2 ' a-74,
Architect Address '2`3X07 tz l?:are i4si. Phone 2S S -F,3'7?
Engineer Address Phone -
Contractor ("4 ..€•‘#4ar(siS�S -�`' Address Avv9A... Phone SAWn%C..
Legal Description of Property (Give``complete description from deed, tax receipt, etc ) 06.S'f�3-'�jl>/8'
.Ve4. ?Si of 131/4 o c..% 8' j - U r c,ir.."A -.3 .Au ty Q . Acid; "k-; tn..
DESCRIPTION OF WOR,J(: New ✓ Addition
Size of Lot (•" S
Remodel
Moving Bldg. Zone / Fire Zone .�
/Ox/Io Duk
Stories 1Dimensions 2..2 36 -t lox Ics -t-- i 0)! 14 Total Sq Ft
Rooms Baths Basement ('U (I Foundation Const CrvC.ir-4"ie-
Full, part, none)
Heat. System ZAKsi14YV+ Type of Roofing.. �► ..Ext.-Fini
Use of Bldg. iciorr,C.52� '- f. /i A/ J.
Sewage System SPL
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
(Fr., Conc., Br., etc.)
Valuation 1 5000
Chimney"E'A( Fireplace /�Q 'A(
(Kind) (Number
Int. Wall Finish.SInG.2-*'
No. of Units _ Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ARAckt.faci
SOUTH
I hereby certify information submitted is correct and
as shown.
m
a
State License No.
�6- Ev\
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
61.1. j ,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE. BELOW THIS LINE
23 70
Your street address will be -71, 3. 1,4 C amt
Sewage Permit Number - Issued Building Permit
Remarks i�.r.`� R. (3,-.....i
Ars arse. ,..mss, P ' 31-.5'
.^a
u✓.
Form 523 Bldg. Code
/o
Piet .'
The zone is
Receipt 02,:! Is.ued
Ge-oStz-7$
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
at Administrator has received a request from add Af. 4,44Whereas, the Short Plat Q
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 hissued for the following
property A• (3 1 �N �� ��.�.�sr •
and shall be subject to the following conditions: (1) The applicant shall corrmpiv
with all requirements.and regulations of the Spokane County Zoning Ordinance.
(2) The applicant.shall comply with all requirements of the Srokane Court* Health
District regarding placement of on-site water and/or sewage s stems.
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
DAliAD THIS
yi
DAY OF
SPOKANE ColINTY PLANNING DEPARTMENT
N . ill JEFFERSON STREET
SPOKANE, WASHINGTON 99201
Approved pursuant to Spokane County Short Plat Subdivision Ordinance Section 3 gaZ o
, 19 7g.
Short Pat Administrator
THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION..
i