1976, 08-17 Permit App: L5121 ResidenceC.vnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION 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 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-baC7ranZNingress
andigr. '.
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
Name of Owner GENIE HOMES, INC. Address E. 9803 Sprague Phone 928-1991
Architect Address Phone
Engineer Address Phone
Contractor Frank Madden Address E. 9803 Sprague Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
Lot 17, Block 2,WELLESLEY MANOR 4TH ADDITION, County of Spokane
State of Washington ' 1L c e_ {' '� 6 -- �F
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 70 X 133
Moving
Bldg. Zone 1 Fire Zone 3
System ST Constr.. .Conc., BCFrame
846 F�, sto,1
Total Sq. Ft Valuation L , 0
ChimneyN/AKind) Fireplace(Number N/A
(
Int. Wall Finish Drywall
No. of Units L Bedrooms
Sewage
Stories 2 Dimensions 24 X 34
Rooms 4 Baths1 Basement Full Foundation Const Concrete
(Full, part, none)
Heat. System EBB Type of Roofing Comp. Ext. Finish Wood
Use of Bldg. Residence -NO GARAGE
—ytt,-;(i..„6,r,,�N n
Draw sketch with dimensions showing: (1) property lines; (2)
proposed buildings; (4) distance to property lines and stree •
tem and water supply lines.
PLOT PLAN
m
NORTH
SEE ATTACHED DRAWING
eet or road locations; (3) location of existing and
imensions of buildings; (6) location of sewage sys-
RESIDENTIAL —
OMMERCIAL
SOUTH
State License No.
233-01-11125
Ind. Ins. Acct. No.
089-592
REQUIRED
Mue l le r
Plumbing Permit
m Heating Permit
Eller Rosa
• Sewage Permit
Fob co
— 1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct :'.there are no other structures located on this property except
as shown.
GENIE HOMES INC.
August 17, 1976
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be '17L,'0
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
sI�(
.7I
0
Building Permit
The zone is A.]
Receipt 4 S9 Issued
Form 523 Bldg. Code
1<
/33,27'
32
�2.
2.7
32"
31/
"
A
A
zo'
SLAB
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BASIC:
SQ.F.T.
LEGAL: Lot 17, Blk. 2, Wellesley Manor 4th Addition
Job .
ADDRESS:
SPECIAL INSTRUCTIONS:
GENIE HOMES, INC.