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1990, 07-06 Permit App: 90001035 Storage Bldg to ResidenceSPOKANE COUNTY DEPArTMENi6 OF BUILDING AND SAFETY W. 1303 BROADWAY -AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I certify that I have examined this perm it/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true and correct, and authorize Spokane County to proceed with processing In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not l understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction SIGNATURE OF APPLICATION OWNER OR AGENT DATE PROJECT NUMBER= 90001 035 3i 34343* 3..34 34 34 34 34 iF *343F3434 a *K********** SITE STREET= 42 N MAME:R RD ADDRESS= -SPOKANE WA 99216 PERMIT USE= CHANGE STORAGE BLDG DAIF:= 07/06/90 PAGE= 01 REVISED SITE INFO AP'P...Ifl TION 34;eai*hx•#i.,c.*..*;Fat3i•#;r#ttx*aik#****• F'ARCFI.4= 15544-1313 I'= I. -AT: BLOCK= AREA= 4 OF BLDGS= OWNER= STREET= ADDRESS= 007755 PLAT NAME= 105 LOT= 00000000 F/A= 1 4 DWELLINGS= PALMER, BOB 922 N MAMER RD SPOKANE WA 99216 CONTACT NAME:= BOB PALMER BUILDING SETBACKS: FRONT= NA LEFT= •14**3i•3434**3E#3 3*343i34**:*..* ******4*** DEPARTMENT REVIEW COMMENTS BUILDING BUILDING ENGINEER HEAL-THDIST PLANNING SC' 5Vitclc-7— 3fr3E3 *** u.3a.le 3•i 34 TO RESIDENCE W/ADDTT'ION TO EXISTING BLDG yr l r gyp. 97-'f 43 re kc -c. ZONE=:: SFR DIST4-: F F WIDTH== DEPT1.1== R/t+I:_. 40 REVIEW PHONE= 509 926 5210 PHONE:: NUMBER= 509 926 5218 NA RIGHT= NA REAR= NA INFORMATION :K3i343i343r3434343E#3E343E3i•343434343k3P343r PLAN REVIEW REQUIRED ENERGY PLAN REVIEW REQUIRED APPROACH/FLOOD PLAIN/DRAINAGE NEW OR ADDITIONAL WASTE WATER APr'''t;OVAL COMMENTS 343E [)I(� 7440G/J Sc.,.J ON 5/lirB/a✓ c._,,,.w... UNPLr•1TTEi)/Sr.GREC,ATF PROPERTY �E-a7._ J:---- Tn (?cc*I�3tL;t� -464 ,hH�* Ttli.CM . NG PERMIT x-,rx 3i•3i•3i3f3i*** *:*. 3e;�3t3* CONTRACTOR== OWNER NEW:: DWELL UNITS:=: BLDG W X D = REQ PARKING= REMODEL= 0CCI.IP. LD::= 15 X 32 SO FT= 4134 4HAND.ECA1-=:: 3i•ii..H•ii.3t•3E*.h..***0***3f3F3!•3r3f3c****#3EN PLUMBING CONTRACTOR= OWNER PROCESSED BY: STEVE HOLYK PRINTED BY: JULIE SHATTO ae3i.3t..tt.:y.;e3i.3r.*.x.3i..**.**u•3434343i3434343E34343434343 *3i THANK PERMIT PHONE= ADDITION= X I'I...f1.. FIt;T:::: SPRINKLER= N CRITICAL MAT= N CHANGE OE I15F'= STORIES= *343i3E3i•ti*'h34343E3434**343r:µ *':34343.3i•3E .b:3i3E34#3E PHONE= YOt.I 3i3E3E H•3E.h3i•3t•3i•34.3E3i3*34*L:*34*343434.3..*3E34iE 3E34*3434 • r NOTICE It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following inspections are required by County Code: 1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual im- proved street/ curb. The responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Block- ing for a manufactured home is required to be inspected prior to the installation of skirting.) 3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION — prior to the installation of drywall. 5. PLUMBING — after rough -in, before covering, and final. 6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL — when complete and prior to occupancy and/or use. In addition to the above inspections, any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. CALL 456-3675 FOR INSPECTIONS. TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE. YOUR INSPECTOR IS UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES: O road cuts for utilities or drives, State or County Engineer's Office ,456-3600 o on-site waste disposal system, Environmental Health District 456-6040 G construction in a flood plain, County Engineer's Office 456-3600 o electrical wiring, State Department of Labor and Industries 456-2792 O sewer connection, County or City Utilities Department 456-3604 EXPIRATION Unless otherwise noted, this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations — please call us if you have any questions. MISTAKES? If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Building and Safety at the address found on the face of this permit. , SPOKANE COUNTY PEPARTNIENTnOF BUILDING AND SAFETY W. 1303 LiFIO*EIWAY-AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 / certify that have examined this p°nn/v^p»//mno^,state that the information contained mand submitted bvm°onn'agent mcompile said permit/application is true and correct, and authorize Spokane County In addI have read and understand understand the IF4SPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction SIGNATURE OF APPLICATION QWNER OR AGENT DATE v PROJECT NUMBER= 20001035 DLATF� 0.3/22/98 PA(L[= 0i APPLICATION� ***************** ******** APF'LlCATIVN *************Ax*x*�*e**x»xxx***xx SITE STREET= 922 N MAM[K RD P8RCEL4- 15544-1313 ADDRESS= ',7POKANE UA 99216 ., PERMIT USE= CHANGE STORAGE BLDG T0 k ~ .;s�� l/�� PLAT�= 002755 PLAl NAME= «Ec1�`�' » /~7 '`/ BLOCK-,is5 LOT= 70NE= SFR ARFA= 00o08880 F/A= F WIDTH= � OF BL8G%= 1 � DWELLINGS= OWNER= PALMER: BOB STREET= 922 W HAMER PD ADDRESS= CP0KEEHE UA 99216 DlS(4L= 0EPTA= R/W= 40 . PHONE= 509 926 15Z18 CONTACT NAND,. BOB PALMER PHONE NUMBER= 509 926 BUILDINGSETB4CKS: FRONT= NA LEFT,-- VA RTCHT= NA REAR= OA *********»*«Ax***»�*»*****xx** P[VI[U INFORMATION *yxox�^»°,*,vv°xx*xv°�pv*x DEPARTMENT REVIEW LVMMENTJ APPRUwiL CGmmFNT? BUILDING BUILDING 2 �^ ENCTNEEK ||EALTHUT%T ' PLANN NG �� ,,� PLAN REVIEW REQUIRED ENF!<i( PLAN REVIEW REPi|IPFP APPROACH/FLOOD PiAIN/BRATNACF - NEW 0;1 ADTJITI3HAL WITER //un��rrrn/rrcnrcurr: nnnrrnrv ""� ``� `"``'' //"`� '�' ^ �*�A�*��***�*�A�~�** A||I/�0T�� P;: H) 'x4}A�**��A *A *A*»*vx****x***** C0VTRACT0R� OWNER PAOaE, NEW,: DWELL UNITS= BLDG W X D REC.! PARKING= REMODELfl OCCUP, L. 15 X 32 %D FT` ,!!,HANDlCAP= ADDITION= y CHANCE 0F USE:- W1/i; H[T= :.:TOR/[s= 460 SEWER= N HYDRoHf W **»A«»»A»««.,0*****M«**«p«** PUUhN4C PERmIT ***x**x***h.xx^**x********v**** CONTRACTOR= OWNER PROCESSED BY: STEW_ HOLM PRINTED BY: STEVE HOLYK **********p******xx*********X T||AXK YOU x,':)-=,/v,�.kxx/\-kxxxxxx*x**x**** PHONE= . , PROJECT NUMBER,,, 90081835 DATE= 03/22/90 APPLICATION ***************�* ******** APPLICATIVN ****4*************************** ' SITE STREET= 922 N hAM[R KD� /' PARCEL�= 15544~1313 ADDRESS.- SPOKANE WA "992i6 ' PERMIT USE,, CHANGE STORAGE BLDG TO RESIDENCE � ��/'//c7�< � ^ PLAT4= 002755 � PLAT r�Ah[=`~' " , ' '`' BLOCK= i .. �� LOT=`''-~ ZOUF� JFR DIM= F AREA= 0008880,0 F/A= F WIDTH= DEPTH= R/H= 48 0F B|VGJ= i V DWELLINGS= OWNER PALMER °\ B PHONE= 589 926 5219 ° STREET= 922 N MAER RD , / ADDRESS: SPOKANE WA 99216 `` CONTACT N HE= BOB PALMER PHONE NUMBER= 509 92A 9718, BUILDING SETBACKS: FR0NT:s NA LEFT= NA KlCH7= NA REAK=`MA ' � � ******************�****ith***** REVTdu/INFORMAfION ***************��********* PAGE- 81 DEPARTMENT BUILDING BUILDING / �7� �- ENGINEER HEALTHDI%T REVIEW C0MMKNT� 'N REVIEW,REQUIRED �NER�Y PLAN REVIE1W REQUIRED APPROACH/FLOOD PLAIN/DRAINAGE NEW OR ADDITIONAL WASTE WATER APPROVAL COMMENTS ----- �~ . ` 744 /1~ �' ��/ '-_--~.~`---Q67-.---_- / PLANNING UNPLATED��ERF�ATF; PROPERT\ ^ ^ / �� / ', re-gld LC, `�v"�� / t ,}�� rl��**�&�8»*****��*��9/ ��**��*�*Ay*�\|T|�DJ�N� PE|/M�T *��*��*�*****^'*�n ******** CONTRACTOR2 OWNER NEW= W LL UNITS= BLDG W X n = REQ PARKING= PHONE= REMODEL= , x CHANGE OF U%E- i5 X 32 SO FT= 4?8 4HANDlCAP= SEWER= N HYDRANT- N �� *******x«****«*»****�******** PLUMBING. PERMIT ********#**4******C*********** / /.4|^.r`, CONTRACTOR= OWNER PHONE.,' • , PROCESSED BY: STEVE HOLYK PRINTED BY: STEVE HDLYK '� �1��* ****«*************************** THANK YOU �* +*�*�********************** t 4 s/ / •.4 ' ' " • INSP - ID DATE B L D N G P L U U M B G M E C H A N A L 0 T H E R * * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * * Date received for CIO processing: Plans pulled for final processing: Conditions to check: Conditions resolved: Temporary C/0 requested (y/n) Certificate of Occupancy issued: Received application: By: Approval granted: By: Ninety days after 0/0 issuance: Owner/contractor called regarding the return of plans: Pl:.ns returned: Date: Received by: No response from owner/contractor - plans destroyed: Notes: } r. SPOKANE COUNTY DEPARTMENT'OF BUILDING AND SAFETY .W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true and correct, and authorize Spokane County to proceed with processing In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not l understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction r SIGNATURE OF APPLICATION OWNER OR AGENT „DATE PROJECT NUMBER= 90001035 1*3*143E36 X 363(*343E3r. 3436 rt X36363*' ***ten** APPPL.ICATIOI SITE STREET= 922-N MAMER RD . ADDRESS= SPOKANE WA '99216 PERMIT USE= CHANCE STORAGE BLDG TO RESIDENCE: NEKA ZONE .SFR F WIDTH= DATE-: 03/22/90 PAGE= Of APPLICATION E34 3*3*3*36 i{..3..*.*363634#36#*3X3634X3) 3E3i34363636 3*3 PARCEL= 15544-'1313 PLAT:"”:: 00275''5 PL..AT NAME= =:: 105 LOT= AREA= 00000000 F/A= 4 OF RL_DGS= 1 4 DWELLINGS= OWNER= PALMER., BOB STREET=, 92' N MAME:R RD ADDRESS- SPOKANE W{a 99216 CONTACT NAME= BOB PALMER BUILDING SETBACKS: FRONT= NA I..EFT:::NA S: 34#3636#3434,is3E3[..x.363E3Ei[.3i..X.3E3P14#XX#XXXt3{•3E REVTF§W INFORMATION DEPARTMENT REVIEW COMMENTS BUILDING 'F';k;'sAN REVIEW REQUIRED Ftti:L..D):NG ENERGY FL..AN FEV:(:E:W RIE:QI.IIRFD 2 ENGINEER HE: AL.THDIST ,5M0A4***X*X3 DIST;;:=:: F DEPTH= PHONE= 509 926 5218 R/W= 40 PHONE NUMT4FR== 509 92/' 5218 RIGHT= NA REAR=.. NA *•3F3436#3E3EX#k3E#3E** 3i 3{•3E3E36****3{• APPROVAL_ COMMENTS,„ APPROACH/FLOOD PLAIN/DRAINAGE NEW OR ADDITIONAL WASTE WATER t,NPL9A�T"/3TE:D/;SE:C.;RE(:;A}'TEJ) PRROVyrRTY ri Xvi(4)i 3iX .i{3E3i•363(1tX '}i 1II.0I: NG PER CONTRA(.;•T'Oli:; OWNER NEW= DWELL UNITS BLDG W X D =: REQ PARKING= REMODEL= OCCUP. L.D= 15 X 32 SQ FT= OHAN01CAP== .)636X 3634 X3{•.X363EX3{•3i 3**3436*#3634.X3636363E#363{' PLUMBING CONTRACTOR= OWNER PROCESSED BY: STEVE H0I..YK PRINTED BY: STEVIE. HOLYK 363{• X rh •X 3{• * 36 36 34 36 34 n: X # 3E 8:36 363E #3436 * 343634 * 34 3(• 34 1; THANK icf9. 1/4:40 24/.?** L 34 ivir4/tit.X•X 3F 3i'3l•3i'd4# 'PHONE= ADDITION= X CHANGE OF USE= HI...DG• HG`(= STORIES= 480 F'F:RMT1 SEWER= N HYDRANT== N J 343EX•X343E X..*#3E343f3F3F3k3c X#i636X3{•li dt.X•.-Eis h1343i I0.,. YOU 3.3. a4'3636363r r e/ X 34 NOTICE It is the responsibility of the permittee, riot Spokane County, to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following inspections are required by County Code: 1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks a ).; measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fehce lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual im- proved street/ curb. The responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Block- ing for a manufactured home is required to be inspected prior to the installation of skirting.) 3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION — prior to the installation of drywall. 5. PLUMBING — after rough -in, before covering, and final. 6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL — when complete and prior to occupancy and/or use. In addition to the above inspections, any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. CALL 456-3675 FOR INSPECTIONS. TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE. YOUR INSPECTOR IS UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES: o road cuts for utilities or drives, State or County Engineer's Office 456-3600 a on-site waste disposal system, Environmental Health District 456-6040 o construction in a flood plain, County Engineer's Office 456-3600 e electrical wiring, State Department of Labor and Industries 456-2792 G sewer connection, County or City Utilities Department 456-3604 EXPIRATION Unless otherwise noted, this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations — please call us if you have any questions. MISTAKES? If you think we've made an error in processing.tbis,permjt or in conducting inspections pertaining to it, orfind erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery, All such requests should be directed to the Department of Building and Safety at the address found on the face•of this permit. , Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET /Jcl- c•, STREET ADDRESS: iv CITY/STATE/ZIP: st,,„i @k No, "4673 (s`farN, kuN itha m. r /IGJ SUBDIVISION: Q�J�/e,4&v4> cT BLOCK: LOT: cA ZONE: DISTRICT: e LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT: OWNER: ,43 vi' 23 F0i(k, 9 V PHONE: 9- C°24 - MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: sa /r r (1/4. w PHONE: 2:2-6 - S SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: y ADDITION: CHANGE OF USE: V 0 DWELL UNITS: 7 OCCUPANT LOAD: BUILDING HGT: VC STORIES: 'BUILDING DIMENSIONS: /S X 3O— (WIDTH X DEPTH) SQ. FT.: -/1 Q REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: APPLICATION FOR CERTIFICATE OF EXEMPTION APPLICATION FEE - $15.00 APPLICATION NO. (c- va/ -Y fi (A) / ,PLEASE r7PRINT OR TYPE 1. . Applicant's Name: /11:2c f 1 t I 7 Po.i4 t,, Home Phone: 97- C- ..0.1 e np Business Phone: Address: 9 R. n m bug v. '(om} �1 City' State: (.r _..1 . Zip: 11 /6' 2. Legal descripu n of property for which this "Certificate of Exymption" is being applied: Section / 5 Township 2-< Range `% within Spokane County, Washington. 774G7- "l' ' Sf -5koe/- Niiii 7'7 - 1/43, _ «...-, t -o 5a,/ -/-i, -70 -h -J e 1<' 7'J.a ,ga.s,- 7 4 1 rt /`SSy/- /lr0� 3. Tax parcel number /5,Y/ - / 3z.s 4. Property size (square ft. or ares): 70' k G' 5. Zoning: nA./ 6. Comprehensive Plan category: //Q Ela. 7. Intended use property: 8. Additional comments which may substantiate your qualification for an exemption: 9. I, the undersigned, swear under penalty of perjury that the above responses are made truthfully and to the best of my knowlecla agree to furnish any further documentation that may be required by the Subdivision Admini ,etstand"that, should there be any willful misrepresentation or willful lack of full disclos t County may withdraw any approval that it might issue in reliance on this app NOTARf .*/81-g• a. Nf.: itO APPLICATION FOR CERTIFICATE OF EXEMPTION APPLICATION FEE - $15.00 - APPLICATION NO. -i�'L1o7/-_ra) PLEASE PRINT OR TYPE 1. Applicant's Name:/� Av Q 41 P�"I1+�Q7 Home Phone: Q ' �a /�� Business Phone: Address: 9aa N_ ��e� IR •; City: State: (mow• Zip: 9 F? (6 2. Legal descripti n f property for(which this "Certificate of Exemption" is being applied: Section Township %r Range 4//j/ within Spokane County, Washington. 336.76 -P4-. of Al 1/z' Q -f )OS. Exp f .0 n.7.6 .71 Q 4%'TL • 77G,/17 t n-(j n Sud i•z/tine ;11- 51/4 Sii, —lo*tete / Y0 £ • 7,t ,4- 0 N// . 0 EY A -T r P/AL i Av7 - 4193 3. Tax parcel number. /SS'// - /3 z6 4. Property size (square fL or acres): 5. Zoning: roti/ /*4.t..•0 • 6. Comprehensive Plan category- tie bah 7. Intended use of perty: 8. Additional comments which may substantiate your qualification for an exemption: 9. I, the undersigned, swear under penalty of perjury that the above responses are made truthfully and to the best of my knowledge. I alsg::.0 to furnish any further documentation that may be required by the Subdivision Administrator.' disclosure o t•' Z application. Q":4:oE •. • 1 Mit r' e SIGNED: NOTARY: that, should there be any willful misrepresentation or willful lack of full ty may withdraw any approval that it might issue in reliance on this NOTARY SEAL.%�p FS: /WA -• DATE: //I DATE: ;/er STAFF ONLY . DATE RECEIVED: 42 /P /g ION ADMINISTRATOR FINDS THAT THIS "CERTIFICATE OF EXEMPTION" IS ENIED FOR SAID PROPERTY DESC JB D ABOVE, PURSUANT TO SPOKANE DIVISION(S) SECTION = -3 3 (1 THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS AND/OR FINDINGS: . The applicant shall comply with all requirements and regulations of the Spokane County Zoning Ordinance. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Department regarding wastewater disposal and on-site water or public water systems. The app t shall comply with the f lowin dditional conditions: i"n _ THIS CERTIFICATE OF EXEMPTION IS AND SHALL RUN WITH THE LAND, AND SHALL BE APP :LE TO THE APPLICANT, OWNER, THEIR HEIRS, SUCCESSORS OR ASSIGNS. THIS DAY OW _ d 19 17 PROVED/ r�r THIS CERTIFICATE MUST ACC ANY YOUR BUILDING PERMIT APPLICATION SPOKANE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE, WA 99260 (509) 456-2205 CERTIFICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON 2 1� r Jo� rw '''ck X r+. 9 N 5 ,s� /b d9 3/ 148j oNigi pg-vob atiihrtwy ,--- - t r - - tc <LJ 1' c0 ,Q '4:t9001 y'.4'N 'r /7 /0 (enf: fr j i6; f:d111:r r• !' r P a c w do j.4` &. �' o'- j r. -1L �, rf k/o '1 • \J -' 11..;, llll � CI ' C. (40 I` 2t r a- \a- CL-L7c1--- Ji c4- /!<'y"' 70 Goa I a f r OfC OOvjf J.7 At VtA to 8 " `n: Co nio t AU. iarf7c.__ c" Nc C;„/°W" Cn WIL 6-1,,., ll oP .cx;Jl ‘) 8(4s, r er,r r E-; �C 1 J c rwcrw�� mr,/- /Poo H.- 9 J< Enc.?, 6;....4 0rio ./�/ J, cr„, 8 r q B -x c,D,Cra.T+W' /0(v-✓ / o,co ,r ( U ° h�D W .„ !C) T... Wi (/ 4 W2-1 �lJcor 7r V L; v; tJ