1971, 12-14 Permit App: J1551 Residenceppt'tCC�VED AS NOTED I g n y(4
pokane County Bldg. Code Dept. I laity ®H Spokane, Washington
Date / d -J
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
by • ='"` APPCIC TA ION 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 vlth 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 onwater 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. 45433 aid 47.235.
SET -RACK 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 I&l,,,BELOW THIS LINE
Name of Owner yP �6 (Q � Address U /4/S7 ( 1cpi- " '5 '` Phone WA 1-i-l's47
Architect Phone Engineer
F Phone
Contractor Address nn Phone /
Legal Descriptio9 of roperty (Give complete description from deed, tax receipt, etc.)„i"Qil-I'fY
S . . 'h.1- 7_1_1) ,C3 Lc in]
Ct_c: •. c
-s
DESCRIPTIONcF WORK: New, V --Addition Remodel Moving Bldg one Fire Zone 3
Size of Le�on//II d 40 h 12- Sewage System Jt Air i Stories i
Const _7'-,4 .414J Dimensions 44 X61,0 F Total Sq. Ft. i6 L% Q Valuation / 2 CIO
(Frame, concrete, brick, etc.) n�er,I"
Rooms S Baths _L__ Basement -Foundation Const ene-1-t- i Chimney ` Fireplace
(Full, part, none) 0.4--14412-
(Kind) (Num er) c
Heat. Syste _A_Ty of Rpofing l .d' 14'f - Ext. Finish rill Int Wall Finish
Use of Bldg. i 4-14.A /X ti ter tele.al.P 1 No. of Units_ Bedrooms.- C
6
Curage or Carport Attached
Private Unlatched
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.
N
NORTH
I hereby
as shown.
Q
State License No.
AK•
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit 1-7
Sewage Permit (/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ertify information submitted is correct and there are no other structures located on this property except
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
9O NOT WRITE BELOW THIS LINE
Your street address w111 be ,•s!- - iso �i �r �A re zone is
Sewage Permit Number Issued Building Permit I (� ReceiptJf2-Issued /`3— —'i
Remarks
Form 523 Bldg. Code
fJ
Thiw will certify that a •1d survey was made of the Sollowing described property and
that four parcels were laid Out as ohown hereon on the dato Shown and that the dimers'
sines and information recorded here is an accurate representation of said survey.
DESCRIPTION:
That portion of Lot 10, Block 4, Grandview Acres, Spokane County, Washington,lying
south of the right of way of the Spokane International Railway.
PARCEL NO. 1
The South 80.0 feet of Lot 10, Block 4, Grandview Acres, Spokane County, Waehingten.
PARCEL N0. 2
The North 80.0 feet of the
Spokane County, Washington.
PARCEL NO. j
The North 80.0 feet of the
Spokane County, Washington.
South 160.0.feet of Lot 10, Block 4, Grandview -Acres,
.• _.
r ..
South 240.0 Teet, of Lot 10, Block 4, Grandview 'Acres,
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 Internationel•Railiay; EXCEPT the South_2401Ci':
feet thereof.
SURVEY FOR; Allen R. Osborne
DATE: November 29, 1971
SCALE: 1"=1001
LEGEND:
o Hon placed 4" x 24" Iron Bar, unleee otherwise noted.