1971, 12-14 Permit App: J1549 Residencea
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APPROVED -As NOTED
Spokane County Bldg. Code Dept.
Date c —/-1--7 /
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my of Spokane, Washington
EPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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.
SETT -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 1s 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 car. not bring action to enforce covenants or dedications.
s APPLICANT FILL 1M BELOW
THIS LANE If SL) 4/
Name of Owner 1 z - ddressCy(t- b Ph0ne to�`�
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Architect Phone Engineer Phone
Contractor dea.414a.4_ Address lone
/� 46-43-e97ae)
Legal Description of Pr petty (Give cam �ete escriDt ion from deed, tux receipt, etc. d"� O
N.-8� a j .s. i bo t 4,07 io l3 cit N_
/ 6ERANlh V lk t'✓ ACRES ADD
DESCRIPTION OF WORK: New L Addition Remodel Moving Bldg(Zone/ Fire Zone
Size of L t :111 ' 1c2.0?/ / Sewage System A4 .0112.1-4...,:e./ Stories ad
Const. NKP Dimensions n % X Q Total Sq Ft. /!1 4Valuation / 606
re
(Frame, concrete, brick, etc.) �y[ �/Q] /R� ,,� �/
Rooms e5 Baths Lnone).{,.L I-LLH-'t/1`-t.-al. Chimne Fireplace
Basemen Foundation Cons[ Y
,,..,,, (Full, part, none) (Kind) . (Nu er) e_
Flea[ Systeny v4 Type f Roofing (.& 14 %Q- Ext Finish T III Int Wall Finish
/
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Use of Bldg. rytLlid A.
No. of Units Bedrooms
Garage or Carport Attached
Private Detatched
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
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/48
1
State License No.
nd. Ins. Acct. No.
REQUIRED
Plumbing Permit 1�
Heating Permit Jt
Sewage Permit 1—
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
/h-14-7/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LIME
/ -�Your street address will be �j .. .1 ! .-.1s i4 ,._ '.e zone is
Sewage Permit Number Issued Building Permi', Receipt Issued (O -t V 77
1 Remarks
Form 523 bldg. Code
100
:�
hi; will certify that a ad survey was made of the folio—..ng described property and
that four parcels were laid wit as shown hereon on the date shows and that the tiimen-
si:aaf and information recorded here io an accurate representation of Bald survey.
DESCRIPTION:
That portion of Lot 10, Block 4, Grandview Acres, Spokane County, Aashington,lying
south of the right of way of the Spokane lnternatioual Railway.
PAROEL NO. 1
The South 80.0 feet of Lot 10, Block 4, Grandview Acres, Spokane County, Washington.
PARCEL NO. 2
The North 80.0 feet of the South 360.0 feet of Lot 10, Block 4, Grandview Acres,
Spokane County, Washington.
PARCEL N0. 3 r
The North 80.D feet of the South 240.0 feet, of Lot 10, Block 4, Grandview Acres,
Spokane County, Washington.
PARCEL NO. 4
That portion of Lot 10, Block 4, Grandview Acres, Spokane County, Waehingon, lying
South of the right of way of the Spokane International Railway, EXCEPT the South 240>0
feet thereof.
SURVEY FOR; Allen R. Osborne
DATE: November 29, 1971
SCALE: 1"=100'
LEGEND;
o Mon placed j" x 24" Iron Bar, unities otherwise noted.