1978, 03-22 Permit App: M5420 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
A 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.
RATER. Rater 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 Nee. 45-133 and 47235.
SETBACK PROM 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.
ROVING 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 throug
h civil action. County Officials can not bring action to enforce covenants or dedications.
re
APPLICANT FILL IN BELOW THIS LINE
Name ofOwner Gu -J 131// A'Tt4e//' URAddress &./207 z'' 9Y2o3
Architect Address
Engineer Address
Contractor E:9€12. ---‘1L-9.___-.-- Address .,:"GCi9�/-- �_
I%
Legal Description of Property (Give complete description from de d. tax receipt. etc.) =her
Nuqq��her
"0 r / 9 $- ,C 2.3.33' s%Aa r%8' / u� 6-,
Phone 3 j/ -8Y6 /
Phone
Phone
P
Al 3
ROADWAY R/W WIDTH = /U1.
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot d 3- 3T %f 196 Sewage System Dost
26x22 "' 2r(ra6 y-/04./` 1-k r4r' / , Valuation 4
Stcriea Dimensions T oral Sq Ft. Valuation
CV
Roans - Bets
Z Basement n-0/1 Foundation Const. r ,'- CAt T C - Chimney t�io-" Piraplace
—(Full, part. none) qq�" (Kind) (Number/
Heat. System /S -/2C A -Type of Roofing - Ext Finls/I�/RFoo're la Int Wall Finish Ry Coo
Use of'BMg. • 0+�,�(q�aw(_o� 4.���v No of Units _Bedrooms 5/
0t 6 J2 -1 /"' "C PLO
Draw sketch with dimensions showing (1) property lines; (2) street or road locations; (3) location of existing and
apased buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
ater supply lines.
NORTH
n o
ta
I hereby certify
as shorn.
SOUTH
on su
REQUIRED
Plumbing Permit
re Beating Permit
• Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Malted
ed . correct and there are no otherstructures located on this property except
i/ //i iaii�. .a - -
ner or Agent11.11011111.-- Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THI S NOT A PERMIT.
yq 8
cc flour street address w111 be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS/ LINE
Issued Building '
Permit I giPO
L /47.2/
The zone is XI,: 5-70 4/-
ReceiptQ78 Y Issued
Form 523 Bldg. Code
0 g2 —7f(
SPOKANE COUNTY SHORT SUBDIVISION ORDINANCE
-CERTIFICATE OF EXIPTION-
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 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 , 71)21 p o DO 41�.
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 RI ?c tet 19 Je'`du E= .33 /s / 1 or 1e' /5/k 67 '7 v4o�n.^
(4F i• trt ^-Fri) �Qc c �tS � �� ,.-t` ?Le. SC. S Ci b)
f
and shall be subject��ft�o �e followiing condition[s1 :� r,(.c�¢/�/.. �_Q „'� "71 n,�Lgf1.Q
lc i{ C} -anti .1' `lie,J rb .)/ t. -CQ ✓1C ;t� nL" C�'lrcC*�-•-1 C?�lSC .2F LLL&Q'hVU' •
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
THIS 2191 )
DADATED2 DAY OF ,
Short 'Plat Administrator
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