1976, 12-07 Permit App: L6412 ResidenceCuanty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE 0
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.
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.
ILUVIII�NNG OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
H hway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACORY 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 AVF_ Phone 970-199L
Architect Address SPOKANE, WASHINGTON 99716. Phone
Engineer Address Phone
Contractor FRANK MADDEN Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 19. Block 2 - WFLLESLEY MANOR 4TH
COUNTY OF SPOKANE, STATE OF WASHINGTON
DESCRIPTION OF WORK: New X Addition
Size of Lot 85 X 137'
Stories 1 Dimensions 32' x 25' Plus 14'x24' Garage
Remodel Moving Bldg. Zone 1 Fire Zon�.�.
Sewage System S.T.me
(Fr.,onst Conc.Fra, Br., etc.)
Total Sq. Ft 1 , 407 Valuation '7 , 500
Rooms __5__Baths 1' Basement _Fill I Foundation Const. CONCRETE Chimney nd Fireplace(Number NONE
(Full, part, none(Ki
Heat. System E.B.B. Type of Roofin COMP. Ext. Finish WOOD Int. Wall Finish DRYWALL
Use of Bldg.RESIDENCEWITH SINGLE GARAGE 2
1
No. of Units _ Bedrooms
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.
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to
NORTH
RESIDENTIAL — COMMERCIAL
(SEE ATTACHED DRAWING)
SOUTH
I hereby certify information submi
as shown.
GENIE HOMES, INC..
Owner or Agent
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to
State License No.
233 -011 -GE -NI -EH 307MA
Ind. Ins. Acct. No.
139-592
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit ROSA
MUELLER
FOBCO
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ted is correct and there are no other structures located on this property except
2 c-> (Y)
l(Tv-01.
DECEMBER 7, 1976
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 LINE - ,Y
Your street address will be
Sewage Permit Number
Remarks
A
a_a `0y
Issued Building Permit
The zone ism 4 / /`�
('i�r /2... Receipt _i _ 1�Issued
Form 523 Bldg. Code
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