1978, 05-23 Permit App: M6444 Duplex41,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / j�
GENERAL REQUIREMENTS PERMIT FEE ,,341_
00
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.
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
/UJi . /I.� Address �1LC, 7/7 /"/• e s gdG<3.-,z— Phone -"1
Architect Address Phone
Engineer Address Phone
Contractor y �YYt-Q-..--- Address Phone
Legal Description of Property (Give complete description from deed, tax recei t, etc.) Parcel Numbet> /496-4,34 0 .344'
rAL So, LU, //s j. .ss . L , ,0t A30 t4A c0 p-` '
,tom W.tat ..s- c:.�.o13 . ',, f t 4 p �J.0.1_I A �5 1.1- elthr' -i
t� ,a. s. Y .C.e� 16 , i .2.1 --- Al , ' � Fix nti k�.�!cucr.Y ,
v., w /ori 4s j
DESCRIPTION OF WORK: ew %'� Addi fon Remodel Moving Bldg one / Fire Zone
Jho ..0
Size of Lot Q (X �� Sewage System =- <� • � e Const.
Br., etnc.,)a➢
Stories .L_Dimensions � 0 / � a` ! T tal Sq. Ft ��` Valuation Ssj 6 (' f
Rooms Baths Basement Foundation Const c? Chimney Fireplace
Fu 1, part, no (Kind) (Number
Ext. Finish -Ty —1/ Int. Wall Finish)01
C'. No. of UnitsBedroo s
Heat. System
Use of Bldg.
Type of Roofing
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
SOUTH
(O
State License No.
COMMERCIAL
UIRED
Plumbing Permit 6°/G1
Heating Permit l /d e -A -CQ Cti ie IC
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mail
I hereby certify infor tion submitted is correct d there are no other structures located on this property except
as p / �- 1.e4' 7-A5i / 7�'OwSer or Agent Date
A LAND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(g fa, 74,fri ICDO NOT WRITE BELOW THIS LINE
aD L/-6.6 .
Tour street address will be , p e p The zone isa
U.--itLyju,t,
Sewage Permit Number Issued Building Permit Receipt 2D 7/ Issued
Remarks
Form 523 Bldg. Code
SPOKANE COUNT! SHORT SUBDIVISION ORDINANCE
-CERTIFICATE OF EXU4PTION-
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* '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 --J ' /A) %OPF I iT
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 gQ 1 14 () /c1.5 j ) Z oSGJ Ci
C421 e 24 410
y. 6L
"✓34/3
CS(A'a co -c: 3.t1/3c3))
and aha31 be subject to the fpUowing conditions
::.•�•� .moi �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.
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