1976, 04-23 Permit App: L3545 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
ENERAL REQUIREMENTS PERMIT FEE $27.00
PE IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure o(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 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 9723- E. Sprague Suite 2 Phone 926-8400
Architect
Address 99206 Phone
Engineer Address Phone
Contractor Frank Madden Address 17021 E. Wellesley 99216 Phone 924-6497
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 1, Blk. 1, Wellesley Manor 3rd Addition
New Plat (36 ' 26 - 44)
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone
Size of Lot 96 X 128, Sewage System Sept I c const. F rame
Fr., Conc., Br., etc.)
StoiTes Dimensions 32 X 24 Total Sq. Ft 839 Valuation 26 •750
Rooms _4_. Baths 1 Basement Fu 1 1 Foundation Const Concrete Chimney f / rf Fireplace /(i /1
(Full, part, none) (Kind) (Number
Heat. System EBB Type of Roofing Comp Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. RPc I denCe - no garage No. of Units 1.. Bedrooms 2
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. -
NORTH \ RESIDENTIAL — COMMERCIAL
m
TOTAL FINISHED SQ. FT. 839
(SEE ATTACHED DRAWING)
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
REQUIRED
Plumbing Permit Mueller
rw Heating Permit Fobco
NSewage Permit Eller Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property exIept
3-7.40
as swn.
Owner or Agent
to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE ' REMISES BEFO E NSTRUCTI • N COMMENCES.
THIS IS NOT A PERMIT.
1-11 `21/a/1
Tour street address willbe
Sewage Permit Number
DO NOT WRITE BELOW THIS LI
(: ) ;
Issued
Building Permi
/ `/ - The zone is ‘�
5 Receipt i Issued
Remarks
Form 523 Bldg. Code
BQOAD AUE•
`t.
Case#:
Sq.Ft:
Job #:
Legal:
Lot 1, Block 1, Wellesley Manor 3rd Addition
Address: 15906 Broad Avenue
;tgage Co:
ger Co:
Water Co:
ember:
Excavator:.
SPECIAL INSTRUCTIONS:
Genie Homes, Inc.,