1978, 03-10 Permit App: N0393 Residence• 4111
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
D
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 LINA
4't v.C' Phone Y-.3 `c o
Phone
Phone
Phone
Name of Owner
Architect
Engineer
Contractor �t
L I Descriptiof Property (Give co plete decfi ti
L0 moi(
Address
Address
Address
Address
on from deed, tax receip , etc.) Parcel Number
AdLe4,YLZ/T) IMI-,
DESCRIPTION OF WORK: New Addition Remodel
Stories Dime Bions' X (0.
Rooms .4j Baths/ Basement f
Size of Lot
(Full, part, no
f
Total
On Foundation Const.
Moving Bldg. Zonene� Fire Zgne
Sewage System .4 ' Const.
,� Fal, C
tion
Sq. Ft Valuation
Heat. System ,4*.#9 E. Type of Roofing gc0 .1J Ext. Fin!sh / i//
Use of Bldg. ._„/S�'�C Y
t `!.s✓ , f) tt` X30 %
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.
Chimney Fireplace`s`
(Kind) (Number
Int. Wall Finish
No. of Units Bedrooms
PLOT PLAN
m
NORTH
67_61„e„,
I hereby
as shown.
SOOT
fy info .tion s
State License No.
Ind. Ins. Acct. No.
— COMMERCIAL
ED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
8/.? /7 8 .Q14.4ti4o
correct and there are no other structures located on this property except
er or Agent
A LAND USE • STRUCTURE PERMIT MUS
THIS 1S NOT A PERMIT.
Tour street address will be
Sewage Permit Number
Remarks
Da e
N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
�V. /7
Issued
Build g Permit
v Gi cc
The zone is
Receipt Or 73 Igsued
N
.m 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 )Es ,�Po.Yr3,N
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 A) 44 I 9, ‘S,C4,611-1 5. Z. /V �.n. /oS - A/ Q..2421- c -ow
and shall be subject to the following conditions:
'cam -cif.
SIPPALIILA
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 '` ' DAY OF /1 sal
, 19h .
Short Plat Administrator
Legal Description
For Wes Crosby
Job No. 1160
January 1$, 197$
Parcel #3-C
'60 A5'17,-7
The North -8-6-.00 feet of the South 565-.-70 feet of the
East 147.00 feet of Tract 105 of Plat No. 4 of West
Farm's Irrigated Tracts, on file in Volume "0" at
Page 51, Records of Spokane County, Washington
Parcel #3
• 5-7/
The North 86:00 feet
East 147.00 feet of
Farm's Irrigated Tra.
Page 51, Records of
.11110
4
tl
of the South 565.7Q -feet of tie
Tract 105 of Plat No. 4 of West
cts, on .file in Volume "0" at
Spokane County, Washington
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