1978, 09-27 Permit App: N0805 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 58.00
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.
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 OP 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 P.O. Box 14410 Phone 928-6090
Architect Address Spokane, Wn. 99210 Phone
Engineer Address Phone
Contractor Franics M. Madden Address P.0 Box 14410 Phone 928-6090
Portion of 23543-1801
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 5 Block 3 Van Hees Addition
County of Spokane, State of Washington
R/w wiatn 5u' 3
DESCRIPTION OF WORK: New XX Addition Remodel - Moving Bldg. Zone 1 Fire Zone
90' x 121' ST Frame
Size of Lot i Sewage System
Const.
90
Br., etc.)
s
Stories SE Dimension
Xd/F/'x24' 25'x34' includes single garagerotalsq.Ft. 1186 (valuation 39,950
Rooms 5 Baths1 Basement ful 1 Foundation Const. Concrete Chimney Fireplace
—MTh. pert, none) (Kind) (Number
Heat. System EBB Type of Roofing Cnmp Ext Fimsh Wnnd Int Wall Finish rd1n Drywa1 1
Use of Bldg. Residence single car garage 07/)`.itt1 No of Units LBedrooms 9
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.
ta
-4
NORTH
SEE ATTACHED
SOUTH
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit Mueller
w Heating Permit A&M
• Sewage Permit Rosa
-1
- f
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is co r -.c d th-fl are no other structures located on this property except
as shown. GENIE HOMES, INC. BY: I11 x Rihh(--- Sept. 'X/ 1978
Owner or Agent Date _ / 1
A LAND USE OR STRUCTURE PERMIT M BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT PERMIT.
�� 1P-0 ei
DO NOT WRITE BELOW THIS LINE }
�(
Your street address will be 1206 Best Rd . ✓ Q U The zone 18 Single family
Sewage Permit Number Issued Building Permit S222. Receipt 72.22 Issued
Remarks
Form 523 Bldg. Code
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