1972, 06-19 Permit App: J3449 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON "201
APPLICATION FAR LANES USE OR STRUCTURE PERMIT � o�
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
MATER. Water supply must be approved by the County and State Health Departments. Where work on pater 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
im
-.4-f�s7
Name of Owner(,i_- auresu s�-
Architect � Phone Engineer
Phone
I Phone � S�,_�j���
Contractor ' Address
Legal Description o` Property: (Give compplete, description from deed, toil retc.)
,receipt.,
DESCRIPTION OF WORK: New J� Addition Remodel Moving Bldg' Zone �---- Fire Zone
oil Stories l
Size of t 66 LSewage System.
Const (. X .j�. / Dimensions s Total Sq. Ft. J 4 Z ._Valuation �G Gi—
(Frame, concrete, brick, etc.)
Baths � Basement,11 i Foundation Const. LI � ��'••"�-t n Chimney�2 -Fireplace
Rooms (kind) (Number)
i (Full, part, none) _
Beat. System_ f- f1 Type of Roofing, S�'t ���%%� Ext. Finish 7- �i/ Int. Wall Finish �- �"
Use of Bldg. i ' No. of Units Bedrooms
Mirage or Carport Attached Private: Detatched
9PLOT 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.
state License No.
NORTH
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U, <
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Pians Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown/%i/. j 4 — ;/ -?
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 LI"E
Your street address x 111 be % }r = '7 c 4 T/ A VE The zone
Sewage Perm t Number Issued
_ Building Permit Receipt Issued
Remarks ill O I,..�-,t-PA, �ui� i _ ! � I -
This will cert; fy that a field surva�7 '+vas completed on this following described property
on the date shown and divided into three parcels and that the dimensions and information
recorded hereon is an accurate representation of said survey.
Eric roachment as shown.
DESCRIPTION.,
The West 90 feet of the West 225 feet of the East 255 feet of the North Half of the
Northeast quarter of the Southeast Quarter of the Northeast Quarter, EXCEPT the South 150.0
feet thereof; and the 'Nest 105.0 feet of the East 360.°J feet of the North Half of the North—
east quarter of the Southeast Quarter of the Northeast Quarter, EXCEPT 'tAB South 1550.0 feet
thereof; AND :EXCEPT 4th Avemie, of Section 22, Townahip 25 North, Range 44 East, 71.14..,
Spokane County, Washington.
Parcel 1
The `Nest 65.0 feet of the East 360.0 feet of the North half of the Northeast Quarter
of the Southeast Quarter of the Northeast Quarter, EXCEPT the South 150.0 feet thereof;
AND EXCEPT 4th Avenue, of Section 22, Township 25 North, Range 14-4 East, W.M., Spokane
County, Washin6ton.
Parcel 2
The Hest 65.0 feet, of the East 295.0 feet of the North Half of the Northeast Quarte.:
of the Southe4st Quarter of the Northeast Quarter, EXCEPT the South 15U.0 feet thereof;
AND EXCEPT 4th Avenue, of Section 22, Township 25 North, Range 44 East, 39.M., Spokane
County, Wasliindton.
Parcel 3
The Test 65.0 feet of the Eaat 230.0 feet of the North Half of the Northeast Quarter
of the Southeast Quarter of the Northeast Quarter, EXCEPT the South 150.0 feet thereof,
iLND EXCFI:" 4th Avenue, of Section 22, Township 25 North, Range 44 East, W..i. , Spokane
County, Washington.
SURVEY FOR,, Allen R. Osborne
S CA.LEV0 III= 501
DATE. May 6. 1972 � �. uA�T~•,
44. 4 of �ttsyy It
s.,ECEND
OMon Found as noted.
OMon Placed 5/3" x 2'-i" Iron Bar.
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