1978, 03-22 Permit App: M5419 Residencek
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Y�
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 moat 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, Noe. 45-133,. and 47.235.
SETBACK 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 froh e'Ylaliking'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.
'1 APPLICANT FILL IN BELOW THIS LINE
Name of owner ///f 41Wed /A�/dr" Address 8. /207 .26 `L 99-zO3
Phone $3 y- 2V6
Architect Address Phone
Engineer ,O Address Phone
Contracts 9) ° "'—.... Address �2' '4.--- n Phone
Description of Property Give complete degtriptiyy+�fromycoed, tax receipt. etc.) P cel Number % zz..if S�y.3— `5�7°? y
et), g3 x w- a/ aro/ ct./�l' o-� i.. r 20 /1..�' s'/ G-e�•,a�n
ROADWAY R/W WIDTH r.: ? 0K
Fire OF WO : New Addition Remodel Moving Bldg. Zone Zone
Sire of I.ot 9 -3%', 7349 ! Sewage System sf/d� C- &Coast. 1 t �^s1
1� /,j O E3 1� r'/ 1Fr.. Conc., B tc.l e
Striae / Dimensions XR.2 f �y14'.2‘; (✓XlG gra otal Sq Ft �7�1 `� Valuation =�
Rooms Baths Basement �,aX�t Cay Foundation Const. .c -ora f Ji/
Chimney4229."1.1 Fireplace
Ra
Full. pert, nor�j (Kind) (Number
Heat. System eC . Type of Roofing . Ez Finish 0 Int Wall Finish 'a GN . (1/
Use of Bldg.-•^� X •
No of Units _Bedrooms
L.-
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (9) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
a
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ti
NORTH
I hereby certify
as shown.
O Syate Li, N
Ind. Ins. Acdt. No.
CESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ion submitted Is correct and there are'no other structures located on t• is property except
az- 7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1ST A PERMIT.
484 qq DO NOT
7 WRITE BELOW THIS LINE
011-
Tour tree[ address will be �• /1/410/ 0 3 / 4� he zone is�,fi,,(' s,
Receipt 07 Issued
Sewage Permit Number
Remarks
Issued
Building Perilt
ti
Form 523 Bldg. Code
• 4111,�-�?tJ �l - 7
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
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 (L),L-. /// STC f/LLC -J <.
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 C^' ' 3 / "6,i al 4 ithating 2( ✓.ot- 0 `"L a') J� 2c�rtir
SCS nS .S c_Aio n 1 3, (1) )
and shall be sub 'ect to t� followi
ng conditions:/f7*7?.p&(-it-.L L c Tk QC
(iL�t eil ld —t"�4reiL "!c• -n,7 Lkztt,C ,1 <LL�?��.�'a
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
"71 MI) itlagth
DATED THIS G4.0 DAY OF
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Short at Administrator
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