1978, 06-19 Permit App: M6799 Residence vs
411 • ,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7
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 mast 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 Owners L. L- I C b - Address J : . Phone S 2S- ( Y Y v
Architect . f. Address o i Phone
Engineer Address Phone v---
Contractor
-,Contractor v 4 UN-L. Address It, 4 c'Ph• e a• .
Legal Des iption of Property (Give complete description from deed, tax rec-ipt, etc.) Parcel Nef
ma e j.,- iv_ -eig4 4 , ./ , i , ,,,,„
/04 S, G 0 — l/ l
DESCRIPTION OF WORK: New L/ Addition Remodel
�-��/ Moving Bldg. Z.ne / Fire e 3
Size oo Lot ..Lf r L / J�-w-i{�- ' Sewage System *� '- onst.
9 '/ �/ (Fr., Conc., :r., et .)
Storie Dimensions �`7` /c �n(� /6 .Y �o? -� Total Sq. Ft. 0t" .4 Valuation • r# o'i
Rooms _¢__Baths Basement o�-�s[x Foundation Const.-C"Vc-'�c Z Chimney :1 Fireplace I
Fu I, part, no net)1 i (K'nd) (Num I1,
Heat. System / / ,' Type of Roofing i .i _ Ext. Finish 7. 7/( Int. Wall Finish s '
Use of Bldg. �`Q�/ l�2_!° '�� /Z_1A(,1 No. of Units Bedroo 3
/ PLOT PLAN _z.f .v- .,
Draw sketch with dimensions showing: (1) property lines; (2) street or road location (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.
0NORTH scat �7
.—
IO, No.
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RESIDENTIAL-COMMERCIAL
REQUIRED
/ Plumbing Permit
��/� / �j in Heating Permit
Irl <__� '-r/' r 6 — a i /
30
In e N Sewage Permit
,C44 �/ �G G Cie- • ' `�' Plans Received _—
y
. ' •( ,'c'`"�C#,pi //9) ' i• Plans Checked
' I r // ' • E' cm-xi-c Plans Returned
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Plans Picked
r
------N`� Plans Mail•.
K/ajl--kfr
SOUTH 67 //7
I here certify info ti submitted s correct and there are no other structures located on this prop ty except
as shown.
rl/�iy Owner or Agent Date ,7
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6- `l,(2. DO NOT WRITE� / BELOW THIS LINE
Your street address will be / V (9 a_/ - I �{�f1 Cit 'a_ 12 / A lie zone . _ . �!L�-__ '
Sewage Pe .it Number Issued : il.ing Permit (� r Receipt /it jam,
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Form 523 Bldg. Code
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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 ordinance did provide for
certain activities to be exempt from short platting activities, and
6 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 6c>6 1t) Sc Hiz iry —
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 oras 0-te Cep ) ,of /0atc / ') //
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0;429°A.o rt,s n,cu r►LJ- tz scsps o . , 3 tarel
and shall be subjec to the following conditions: / 7II 4-( ,117c j (. Q2
,a. g d"kcifil 1 s iiu cf ,S1 r vim,
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
DAT....D LHIS 31i DAY OF ti` -'414). i 3
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4,1 \0 1
E2ILL
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Short Plat Administrator
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