1978, 03-27 Permit App: M5449 Residence0
0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE.' PERMIT a 7
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 47235.
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 OP 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
or
'
Name of Owner 1 ..moi.•. .t . .�/..., -4 Address w .2-2�. .Vii
Phone t/.; 5'-/8/10
Architect Address
Engineer s Address Phone
Address Phone
Legal Description�pf Property (Givp cornplete description from deed, fax receipt, etc.) Parcel Number C..1.16- -. / C1
_,r/
Al. ?1J »/' Lr., 7On �r�' z' kit- /'73 q../24g,
Phone
Contractor
ROADWAY R/W WID }I CACI
DESCRIPTION OF WORK: Ne7 Addition- Remodel
Size of Lot -7d JC/n!a
Bldg. ZoF
Moving
Sewage System
Stories Dimensions a.5-%C3eo
/
Rooms .11_Baths 1 Basemen Foundation Const
DLL
(Full, part, none /r
Heat. System P Type of Roofing
Fire ne.1
Const
r.,
Conc.,
Total Sq Ft �/ 94 Valuation
Br., etc.) 0 O
ce DG
id.ce re. Chimney NA Fireplace
/� / ,% (Kind) �(fl (Nqn er
Ext. Finish y�{it.�,/.CKJ'CLOCInt Wall Finish XY-#4- 'r
Use of Bldg. OQc (A.l.f'(1 No. of Units _Bedrooms
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.
NORTH
' a3
l p 0
I he
as shown,.
certify tin
SOUTH
etted is1
State License No.
b IC o N F / 1-C
Ind. Ins. Acct. No.
[ESIDENTI COMMERCIAL
REQUIRED
Plumbing Permit
wr Heating Permit
Sewage Permit
-t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
act and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Ona)
DO NOT WRITE BELOW THIS LINE
Your street address will be ,4. /..2Ar ft,/ .ep_,{.) The zone is atecr/erast
Sewage Permit Number Issued Building Permit -S4 Receipt O$4. 9 Issued
Remarks
Form 523 Bldg. Code
/7[_- CIG -7f
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 FfAltIK
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
property /0 Yr ! L� Lc ti lr^ f'' e/ ZQ"A
(
Al opre0-ele) rs-r"L-er A_S 6 SSL toCt.'IA_3 MrA).
and 41all be subject .t�o the following conditions:.�.,nL.cs"t.0
•-G �v cr ---O
A' L `-cl LK _,tom I c , . _2r}'t.c9A±:2
1_; r}�_
ate- tic'- f.
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
DAT.a) THIS
Tit" DAY OF , 19
6 .
J E
r
hort Plat Administrator