1978, 04-04 Permit App: M5546 Residencei::-.)c)
County of Spokane, Washington
BUILDING CODES DEPARTMENT; N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT G-
ERGENERAL REQUIREMENTS PERMIT FEE---$6.2 (/U ---
PMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or str re of any
kind or alter any building or structure already erected, or to change a land use. Construction must co form 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 =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-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.
fi , APPLICANT FILL IN BELOW THIS LINE qyZ/w
Name of Own: I tom.-.3"_711/4a,- Address ' .•/ v.1 . dri-.1. Phone (?a'u --frd7
_ , —
Architect 4/ ///YlJ Address Phone
Engineer Address Phone
o /y
Contractor , L4ce71_ ` Address Phone -
Legal Des ii tion of Property (G1/4•3 complete description fro ed. tax receipt, e c.) Parr/�I — , O&O
"""Nuu...mber /0
, ,--) /Q Lin �f? /4,7..s o rxin,7--37 �C/O 1 Olin'
il `?
DESCRIPTION
lc%SSI
OF WORK: New Addition Remodel Moving ✓BI Z ne � Fire Zo c3
Size of Lot 70.--S-0 .lam /.J T?7 Sewage System
%onst.
r., Co t, Br., etc.) G
Stories _,.Dimensions - 2I/ .. s .1� /,.� • : Sq. Ft. /Sra R Valuat on ,R0 61+0
Rooms Baths / Baseme i ' / Fo dation C;nstr . Chimn Fireplace
(Full, part, n`•e / Kind) ^�(Nu ber
Heat. Syste , " - Type •f Roofing Ext.,Finish AO rr... . . - t. Wall Finish (r1/
Use of Bldg./ I -" ' Va/ rJ1% • ik 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
State License No,
3d
Iad. Ins. Acct. No.
RESIDENTIAL —,COMMERCIAL
q I
/
REQUIRED
Plumbing Permit--
)�l0
r
33I
m Heating Permit -
rw
to
N Sewage Permit
N
_
y
Plans Received
Plans Checked
,i
' 7 /
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby rtify information su itted is correct and there are no other structures located�teonthis property excep'
as shown.L r.4.-Z-GG a )e---‘7,1.---,7
er` —/
lJ
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
& 7j�O DO NOT BELOW THIS LINE
�WR)ITE
Your street address will be /3 70 5( l a 2�G The zone is
Sewage Permit Number Issued Building Per it ceipt///3 Is
Remarks
/6y2._
�-�j7
Form 523 Bldg. Code
�l
Y
75
SPOKANE COUNTY SHORT SUBDIVISION ORDINANCE
-CERTIFICATE OF EXE1PTION-
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 L_e f,t f -Lc JA -1)
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
c�JKit CA
ti 9e. So/ //2, sc S. ZLsD7
fizA.e c mac, c2 ,.� 10 6-e,s— 0 _2_ 3Rt(I ) J
and shall be,subject to the following conditions:
icy cwt 9 t iX,
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
DA'ill) THIS
DAY OF
, 19
hort Plat dministrator
J