1978, 03-27 Permit App: M5450 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
z7�
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of au,
kind or alter any building or structure already erected, or to change a land use. Construction most 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 47.23.5.
SET -RACK 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 met 7'f1I /'AtW_ Address
Phone ,c2,9 js/ro
Architect Address Phone
Engineer Address Phone
Contractor v4/L7401. Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number .23.5.43— J9/9
N/Wo`
Lt.) 1 de, ' 13.1—/C / 7,3 girt.
ROADWAY R/W WIDTH (n,
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 7d )(it'd
d
i
Stories.ZDimensions .1.ex s(, Total Sq Ft
Rooms L Baths / Basement1'J14f _Foundation Const
pp (Pull, part, non n
Heat. Systemf.CQ,i/n,G� Type of Roofing 0 n Ext Finish `I .M
r-?�Il
Use of Bldg. 4 JAI.n ,p.'fl
Moving Bldtp, Zone—/ Fir ones
Sewage System 2CJ / Const fez- kt
''{` (Fr.. Conc.. Br., etc.) D
it `)'di valuation v.,49o0°—
mney WA Fireplace A/A
PLOT PLAN
�Numer nO
Int Wall Finish �'jhner
No of Units —Bedrooms a
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
/QD
SOUTH
State License No.
Dt- o,cii.&
Ind. Ins. Acct. No.
RESIDEN AL — COMMERCIAL
REQUIRED
Plumbing Permit
re Heating Permit
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cer..ify infotion ect and there are no other structures located on this property except
3=2._27_2
Owner or Agent Date •
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6),,,-Rvia DO NOT WRITE BELOW THIS LINE
Emir street address w111 be pp, Jay C, 1L.g4p/1,v The zone is 1 d1/!'[l. i.I1.Q
Sewage Permit Number Issued Y- Building Permit i'i-503t) Receipt 0 t4 Issued �j
Remarks J
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 (0/14//wn ArrLL
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 - , %r r ,/ I L/C`' /C'C / -1. /3(1z. 173 ILA..
Offz -ttt k./ ai-i-/ SS L lk .Lf
and shall be subject tp the
- cf." c c .4 t cam• 44*.• . 3 f36)
following conditions*
144 c C a \ t&Q St.I.-:.l e ..Se lit -CLIA L-(1.2k,m sj
CC4, i LU tC
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
DATND THIS
DAY OF ittiaJCL.,
Short
at Administrator