1980, 05-28 Permit: 80-5075 ResidencePLAN NUMBER 1
APPLICATION/PERMIT PERMIT NUMi E4,
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �c) o,
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
L T B O K
2.
NER
3 A
DRESSif
C NTR CTOR
4'ADDRESS
DESIGNER
5. ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
TO
LEGAL DESCRIPTION - SEE ATTACHED
IV ION
Finished Basement
PARCEL NUMBER/S��/
6.
W,,47'g7 >o. —,cj(C. -s ;,T, 7 7d
, r47tAaz-jt
PHONE
.t�w /(e-►, w,iG'4At, t4I"A"Rohp
ZIP
Actual Set Backs in Feet 1 Q J
j
No. Rooms
No. of Dwellings
-79Zd 7
North y SoutA8
East West
PHONE
Size of Parcels
Zone Classification
%, OF
g-?, ,5: r k 1
CERTIFICATE
Req'd
I Rec'
ZIP
Type Const.
Occupancy
Sprinklered
of EXEMPTION
'V/
I
[--]Yes ❑No ❑ Req'd.
DESCgRIBE WORK,(t
PHONE
Va�liation �rj
Building Area in Sq. Ft.
Location (Area)
FEES COLLECTED
8 �ljJ\}
d .�
,
ZIP
Main FI or
Upper Floors
Garage Area
Storage
ELECTR
WATER
SEWER
Ownership
USE CODE
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
/
%, OF
OTHER
CERTIFICATE
Req'd
I Rec'
Not
t Fje�d.
WORK ,BLD. ❑ PLMB. ❑ MECH. ❑ M.H. POOL
of EXEMPTION
'V/
DESCgRIBE WORK,(t
Enum. Dist.
Location (Area)
FEES COLLECTED
8 �ljJ\}
LUATION I SOURCE
GAS
ELECTR
WATER
SEWER
Ownership
USE CODE
9.��fpD UTIOF
LITIES a lt-1 C� j�%(j Public ❑Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local lawulatIng construction r the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
DATE OF APPLICATION%:!E 43 — Ed SIGNATURE OF APPLICANT �— "' r '' h .
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Ian Check
iv alt
GR SEPA
anning � E /cif-A/JN//y CZ A.i3d4, ,f.dT �•l.ZE
re Marshall Mobile Home
ngineer
Plans Examiner
-Y-6A4 lob -IFF
02* *21 5.00
*21 5.00
*21 5,00Y
E *0.'00 S)
507,4:1
05-28-80
6.479,
Other (Specify)
TOTAL $%`
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
B Iding Te nici��PERMIT IS NONTRANSFERABLE 1) 5 _ 2 2, - 3 �, 5 0 5 `* 2 15, {} a I-
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Whereas, the Board of County Commissioners did, after,
public hearing on March �� l y
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/AEI C,2os r3 y
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) /4/7/ IECA _ /as -/0 (AAA F- � stnrc
(j 7,
77 g ?./
s Sst-t tea)
and shall be subje�t to the following conditions: ,nam,, ec
, o�z.lca�.� �� 00 04.00�! �T �-jutierII
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 A7/ DAY OF /7101
Short Plat Administrator