1978, 03-30 Permit App: M5495 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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.
nd
ents
ng with the
which lareVenforce ble.throughrs civiluld action kCountysions of Officialsocanants or not bringdactionns toaenforcemcovenantsior dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner.rr1S 11 /AIE'A4W Address /9 5 ,l/ t1 SSIt—
Architect Address Phone
Address Phone
Engineer �ti - �
Contractor /I J A/7/ 1_S /A/G, Address//%28 , / '¢''�'`l J C, Phone y �07
Phone922 2.9'2-5
Legal Description of Pro rt (Give complete
gd u
S. X 70
A.I 06 / EA/S0
escripttion from deed, tax receipt, etc.) Parcel Number /-T4"/ /.3 0 /
Gv %iC�GZc,i /V4 Pi*, r_ xc.
E. /0C S , cFS" IL& �" / `'�,. kF-10vt`L`-c,c Ate.
DESCRIPTION OF WORK: New J�' Addition
Size of Lot
Remodel
Moving Bldg. Zone / Fire Zone
Sewage SystemSA=Pr1C 716 /�/'F'�-
Const '/
Stories Dimensions 28 )tote,`°I. Z
3 -
Fr., Conc., Br., etc.)
÷ /0 V1 2.- Total Sq. Ft 2.t 3 Z Valuation 5-71:00
Rooms 4y_ Baths Basement �''2.L t_ Foundation Const CpNG/j�TE Chimne Fireplace �"
Fu 1, part, nortG) ,4 s-,i,A-q 4- ( r d (Number
Heat. System.46G, )/A Type of Roofing CCA L*, Ext. Finish &It,.Int. Wall Finish �+e/tt'J- 1. -
Use of Bldg. 1?r1716'i+ile.4TP f;LE - .2)Lc)< a 3'
6aadivo,.y ja' /
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.
No. of Units,—Bedrooms
O
ii .ct It 4
4111.00/
.rrr
NORTH
'5:44
ti
r
/Of • 7r
SOUTH
I hereby ify information submitted is correct and there
as shown. ��\\�,��((
LSA �•
ner or Agent
are no
epti.ues.
State License No.
Ind. Ins. Acct. No.
- COMMERCIAL
REQUIRED
Plumbing Permit LytZ
11
Heating Permit A'1 M
Sewage Permit
Plans Received
'� l Plans Checked
v(� Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this pr erty except
_ --�- - 7
Date
RUCTURE PERMIT MUST I
A LAND USE O ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
I�S�
THIS ISNOT A PE
DO NOT WRITE BELOW THIS LINE
. 1 Your street address will be 5rA / e 1/p / L --
Sewage Permit Number
The zone is
Issued Building Permit ��eceipt 096 "Issued
Svh
Remarks
Form 523 Bldg. Code
4
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 orrH rince 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 Acdm; n, strator has received a request frooL3ArttHsA�er1►t�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 Plat Administrator hereby
finds that a certificate of .e/xemption --should be and hereby is issued for the following
property /0a / s1/7o / W`Z 7n / rr)q7f lAer cc) 42o41
ire x / '? /P O
(42-p-LavirtO51 cS-"PS ��� cr ' 0 3 6 r5))
and shall be subject to a following conditions:
6/1tie Ace9 j�-�'
r
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 d
DAY OF ir/7ec* A el
19 d.
hat A 'nistrator