1978, 03-10 Permit App: N0387 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 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.
HATER. Nater 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 LINE
Name of Owner
Architect
Engineer
' Contractor -Address.70
_
Legql Description ofFigperty (Give complete des';4Z from deed, tax
-aae2o
etc.) Parcel Number
Phone
DESCRIPTION OFWORK: New Addition Remodel Moving Bldg. Zone G Fire Z ne
Size of Lot ( O I Sewage System .4e4.7-- ns . c., Br t
, c
Stories Dimensions Total Sq. Ft. /i Valuation
Rooms Baths Basement Foundation Const.. Chimney Fire ac JLC
Fu I, part, n _r, (Kind) (Number
Heat. System 4�7 Type of Roofing % Ext. Finish I' ��/ Int. Wall Finish- LZ4Z4AAe4,
of Bldg. Az No. of Units—Bedroo s
67 � �U PLOT PLAN
Drdw s etc,� w 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
I hereby cotip informs
as shown.
vor i
A LAND USE ORS "=t
THIS IS NOT A PERMIT.
Tour street address will be
Sewage Permit Number
Remarks LJll� L-,. �.._ -
Form 523 Bldg. Code
SOU
correct and there
State License No.
Ind. Ins. Acct. No.
�=ED
COMMERCIAL
Plumbing Permit
M Heating Permit
30
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed G
l "-0-y
Q
ter structures located on this property except
3110172
00" -Date r
MUS ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE 3
zone is
Issued ,Building mit Receipt J_ 7 Issued _
e
SPOKANE COUNTY SHORT SUBDIVISION ORDINANCE
-CIRTMCA629 OF rIOK-
Whereas, the Board of County Commissioners did, after public hearing on March 9, 197$
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 As CROss ,T..,�,�
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 Flat Administrator hereby
finds that a certificate of exemption should be and hereby is issued for the following
and shall be subject to the following conditions: c,x7"
This 'Certificate of Exemption'.is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
4
OL
Short Plat Administrator
rarcc-L
j 7
The
p10
north tt- CSO
feet of t.he.
:youth feet of the
147.00feet
of Trac L
1A5 of Plai. No. 4, of West
"ar".1
Trri_�;.atec)
Tr ct;;,
ON I':ile in Volume "O,r at
Records
of "pollane
Couni,y, '4ashin-ton
Legal Description
For ti'1es Crosby
Job No. 1160
January 18, 197£3
Parcel #2-A
1.
ip'
The North 1.00 feet of the South y feet of the
West 147.00 feet of Tract 105 of Plat No. 4, of West
Farm's Irrigated Tracts, on file in Volume 110" at
Page 51, Records ofSpokaneCounty, Washington