1981, 08-10 Permit: 81A-7993 MH PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY.— BtO DING CODES DEPARTMENT 614 - 1ct43
c-1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
MBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 1 LEGAL DESCRIPTION — SEE ATTACHED
'� 5'Iv X19 1
LOT L K S(UBDIVISIO, , '-( --Oa—
O^yam PARCEL NUMBER/S ' Q 7 ,* •k 5 C, 0 0
OWNER . E * 50, 00 17)
3 ADDRESS �� !� CZIIPActual Set Backs in Feet
' * 5 0. 0 0
63 rr✓vIV1J . 7- / 90 3-7 North .5G (SouthEast (West � A * 0.0 0 53CONTR C1-0 PHONE Size of Parcel Zone Classification
4. ;
k ' '142r)(- A6jklc, 784.4-2
ADDRESS ZIP TyV nst. 1"ccupancy Sprinklered
V Iv ✓� ❑Yes DNo D Req'd. - `8 1
DESIGNER PHONE Valuation Building Area in Sq. Ft. 6 4 7 9,
5. (2- 1oo0 980
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
`I 80 —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE pi/ No.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. / Lt J
7. OF ❑ OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 4:].-M.H. ❑ POOL CERTIFICATE Req'd. Rec'd Not Req'd.
of EXEMPTION t�
DESCRIBE WORK Location (Area) T FEES COLLECTED
8. i1\1 cam, [101 C C Enum. Dist.1¢ x 7v) I
VALUATION'.SOURCE GAS ELECTRIC WATER SEWER Ownership ,_,/JUSE CODE
9. / x-147`} IUTILOIFTIES i� Public ❑Private Y,3' Single $
I hereby certify that.l 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 law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 1—•--1-.1'11 SIGNATURE OF APPLICANT 1!;'41L. tttc.:rEA, - . 4.1 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE r�"i y�Ivii e 4�� `v f��,�c c- ,.1 iC (' ( '�j {4 17°4)9, Plan Check
Env. Health S A--r7-AC f1
�L-. C 71 iPic� Or- EX MPfloJ
'1 POLE-11,0 -7/2-7JM IVP fr9 2,�V�� .�uLs Z7 I SEPA 2
Planning
/ oro / PAuL J EJ soi.
Kc), w
Mobile Home
Fire Marshall -1
Co. En{{{nnn.ia.q.-er 1/J Other (Specify)
0
Utilities 4
TOTAL $ 1
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
,'013:4'11,t
t �r t 1 i 1� _
Build, TechniE� "+r,, _ PERMIT IS NONTRANSFERABLE Q''6 y' � y;8-1J 7 9 9.3 Z .g5 co 0 d
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
•---- ,
APPLICATION FOR CERTIFICATE OF EXERTION .
APPLICATION FEE - $10.00
PLEASE PRINT OR TYPE
1 . Applicant's Name: ('.A„t'c,LF_ S;TA'A t_KJ Phone - Res :c.r.,/._;,-4%4. Bus:
Address: ,t, . 1)-(9- ; ITirK,, /i,C . City:`J'Y.,,?,e/4L'e_,, State:,.4,:,t ZIP: 61 9( 1
2. Legal Description of property for which this "Certificate of Exemption” is being applied
for: Section ,i 4 Township _ ii Range 4 V
3. Parcel Number (From Tax Statement or Assessor's Office: i 1 .,7.,/ .5". .//- c�seZ. (4,4:FTi6N
a. Size of said property: Square Feet: 2.2) 4 as- `t Or Acres :
5. Intended use of said property: 44-G6119f'd7K1L
6. Zoning of said property : 4-6piei
That part of the northeast quarter' of the southeast quarter i
.
of the northeast quarter of section 24 , township 25 north, range 44 ,
t.,
east W. M. , in Spokane County, Washington, more particularly described
as: ,
Beginning at the north 1/64th corner of the southeast quarter of
the northeast quarter of said section 24 , thence south 89°54 ' 45"
east, 20 feet; thence south 25 feet to the true point of beginning;
thence south 89°54 ' 45" east, 115. 00 feet; thence south 0°26 ' 15" east,
195. 00 feet; thence north 87°58 ' 30" west, to the point of intersection
with a line drawn South from the True Point of Beginning; thence
North to the True Point of Beginning.
V A u i v l s i on or i anC CO a �uvu�c, lam.. or oouy'i (
<_ DOCUMENTS NEEDED: (1 ) Copy of deed/Quit Claim Deed or dated copy of sales/contrac•
• agreement. '2) Notarized af:idavit attesting to said
. relationship
H. A division of land within properties zoned Residential Office, Local Business ,
Commercial , Industrial , Manufacturing, or Freeway Commercial
DOCUMENTS NEEDED: (1 ) Copy of survey
8. Additional comments which may substantiate your qualification For an exemption:
othedo v oresponsesare , l
I , the undersign-d, swear under penalty ofperjury , that the above rade
truthfully and to the best. of my knowledge. I also agree to f•irnish any Further documenta-
tion tnat may be recuired by the Short Plat Administrator and I hereby =_tree to waive the l
five (5) day approval period as specified in the Short Plat Ordinance if further information
is required. I also understand tnat , should there be any willful misreoresen:aticn or . 1
willful lack of Full disclosJre on ,my par:, Spokane County may .itnaraw any approval :hat it
might issue in reliance of this application.
'
SIGNED: 4 .--vf /?", DATE 7 /.. ' /2 /
ZIA
NOTARY: 1!. . SIIDdI . 1 . . DATE: 7 / /2/
NOTARY SEAL .
S?CC,NE C0VN1 Y ShCRT ?LA SLEDIVISICN .RDI`In1ICE
NOTICE CF ACTICN CN CERTIFICATE OF EXEMPTICN APPLICATION
1 Whereas, the Beard of County Commissioners did, after public hearing on March 9, 1973, adopt
the Spokane County Short Plat Subdivision Ordinance, and
Whereas , the Board of County Commissioners, in adopting this Ordinance, did provide for carte
activities to be exempt from short platting activities, and
Whereas, the Board of County Commissioners did further provide for these certain activities
to receive a "Certificate of Exemption" from the Short Plat Administrator prior to the relea:
of a building permit, and
Whereas, the Short Plat Administrator has received a request for a "Certificate of Exemption' {
for certain property located in the unincorporated territory of the County of Spokane, and
I Whereas , the Short Plat Administrator has reviewed the evide^_e presented by the applicant a7 j
all other information available, the Short Plat Administrator hereby Cakes the following act: 9
on this "Certificate of Exemption" application, pursuant to the Spokane County Short plat
Subdivision Orainance.
APPROVAL \, DEN•IAL
Certificate of Exemption - Certificate of Exemption - i-
The Short Plat Administrator finds that a The Short Plat Administrator finds that a
"Certificate of exemption" should be and here- "Certificate of Exemption" should not and her
by is issued for said property, as described by is not issued for said property as describ.
cn the reverse side, pursuant to Spokane on the reverse side, pursuant to Spokane Cour
County Short Plat Subdivision Ordinance Short Plat Subdivision Ordinance Section
�' ---
Section
• ) , 3 A ` ) , for the following reasons:
Approval of said Certificate of Exemption"
and issuance of building permits, shall be
I .
subject to the following conditions:
1 . The aoplicant shall comply with all require-
ments and regulations of the Spokane County . •
Zoning Ordinance.
2. The aoplicant shall comply with all. require- /
ments of the Spokane County r.ealth District
regarding the placement of on-site water
and/or sewage systems .
•
3
•
According to _ 'e Spokane County Short Plat Su:
division Ordinance, the eiviion of land that
you propose to develop is deflined as a Short
Plat and you will be required to comply with
the requirements of said 0 ..mance prior to
issuance of building perm ts .
This "Certificate of Exemption" is and shall
run with the land and shall be applicable to
the applicant, owner, their heirs, successors ,
or assigns.
APPROVED TH I S77 DAY OF '-‘,..,1_. J1'9' DENIED THIS SAY CF 19
/ ;
/ 7 4. ��-
Snort Pia: :••cm.i- _ }
-ter Snort plat -C,^.., i ,., , .or
SPOKANE COUNTY • SPOKANE COUNTY
PLANK I`IG DEPART- PLANNING DEPART-
MENT STAMP MENT STAP.P )I
! .THIS r_RTI''C„T_ rU . . CCCr'1Iy
(CUR SUILDI..G, ::M ;; _? _Ic - `,I
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I i,ereny cer5ii, ,; : .Q •3/r,: .roper: dtisc: .._L i r o
That .';:rt w ., .e .:urtr.,..,;1,, .u..r ',.er ' . yof tie t ortheaet
qua:tar ;.,ij.,) u: . .0i._.,:. GLS, . 2: . .. t.♦ Sdor. .,d .O'L.t., • q_c ,4..I .oti, ?C:'e? ...I''.•1..:o-
larly descrined
Be ;.o. :.i::.. t. -. . o_ ;,n 1/ ❑�., .', _
'_ ._ O.,k rter . nortt:ie •., .. rter
of chid Sec .!L , 'aces ° •;.i' !:." }a, 2) _ecL; t:,i.,ce .oat,.. 2> .'e tit t„ L:;f, ,r ,,,int
of begira:in ;; t:k.::ice 90 »1' .," l: . F4'..i.; t'.3:,C6 J 00 ' r., 4! T., : ., .'kje6j
thence N _70 ;.' _ " ", ;,Jsk,`,} lest; ta«nce t:Jttrl uJ1o50 feet to t re ;.r.,•: ► _.1l. JS J•• :in-
inkg; aro:. ti. _ ,: .•J•_ i...� ,:c:•.iwrs Lnarauf as shown, and that no enoro.ck,r,enta of any
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