1977, 02-11 Permit App: L6914 ResidenceM -179
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
Ctanty of Spokane, Washiagton
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 27.00
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.
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.
CGUNTY 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
Name of Owner Genie Homes, Inc. Address E. 12929 Sprague Ave. Phone 928-1991
Architect Address Spokane, WA. 99216 Phone
Engineer Address Phone
Contractor Frank Madden Address Phone
Legal Description of Property (Give complete description
LOT 5, BLOCK IA Alki Subdivision
County of Spokane, State of Washington
from deed, tax receipt, etc )
DESCRIPTION OF WORK: New XX Addition
Size of Lo 1 07.29 X 270
Stories yz' Dimensions
Rooms 4-'Baths 1 Basement Full
(Full, part, none)
Heat. System E.B.B. Type of Roofing
Use of Bldg. ffl
Remodel
Moving Bldg. Zone 1 Fire Zone3
Sewage System S . T . Const. Frame
(Fr., Conc., Br., etc.)
24 x 34 Total Sq. Ft 846 Valuation $ 30,800
Residence
Foundation Const Concrete Chimney None Fireplace None
(Kind) (Number
COMP Ext. Finish Wood Int. Wall Finish Drywall
No. of Units 1 Bedrooms2
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
4
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL — COMMERCIAL
SEE ATTACHED
SOUTH
I hereby certify information submitted is correc nd there,are
as shown.
GENIE HOMES, INC.
Owner or Agent
State License No.
233 -01 -11125
Ind. Ins. Acct. No.
189 -592
REQUIRED
Plumbing Permit M u e l l e r
nr Heating Permit Fobco
Sewage Permit E l l e r
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
February 11, 1977
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON TH�E`��EM ISE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. I(%
DO NOT WRITE BELOW THIS LINE
11 rl ('
Your street address will be ). 4-� Cki ►
Sewage Permit Number Issued Building Permit
Remarks
EFORE
The zone is a %e
Receipt Issued
Form 523 Bldg. Code
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