1976, 08-13 Permit App: L5075 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ,2
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.
RATER. 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 E. 9803 Sprauge 99206 Phone 928-1991
Architect Address Phone
Engineer Address Phone
Contractor Frank Madden Address E. 9803 Spr�Jgue 99206 Phone 924-6497
Legal Description of Property (Give complete description from deed, tax receipt, etc 1 //0 '412— 3 6 P‘ '�=.--
Lot 4, Block 1, Wellesley Manor 4th Addition
County of Spokane, State of Washington
DESCRIPTION OF WORK: New X
Size of Lot 96 X 128
Addition
Remodel
Moving Bldg. Zone 1 Fire Zone 3
Sewage System Sept. Const. Frame
1Fr., Conc., Br., etc.)
Stories 2 Dimensions 24, X 34 Total Sq Ft 846 Valuation 27, 850
Rooms 4 Baths Basement Full Foundation Const Concrete Chimney N/A n Fireplace None
Full, part, none) (Kind) (Number
Heat. System EBB Type of Roofing Comp- Ext. Finish Wind Int. Wall Finish Drywa1 l
Use of Bldg. Residence no garage No. of Units 1.. Bedrooms 7
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.
m
iA
NORTH RESIDENTIAL — COMMERCIAL
(SEE ATTACHED DRAWING)
SOUTH
I hereby certify information submitted
as shown.
GENIE HOMES, INC. BY:
is correct and there are
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
REQUIRED
Plumbing Permit Mueller
rn Heating Permit Fobco
• Sewage Permit Eller Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
August 13, 1976
Owner or Agent Kenneth J. Tupper Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
1
DO NOT WRITE BELOW THIS LINE
Your street address will be e / 6 0 Cj <1"-ce -c�tTh
t _ a ,'yt�� -r./
e zone is ,��
Sewage Permit Number Issued Building Permit/',- , : ; Receipt .257 '/ ssued
Remarks JC l
Form 523 Bldg. Code
•s, i
245'
63,
629,4,
Basic Rancher
DAD
: 404/ ,62,e /9a7)/770,t2
Addres5:
GENIE HOMES, INC.
Power C WWP hater Co:
Plumber:Muelle
Elle
xcdvator: Rosa
SPECIAL INSTRUCTIONS:
GENIE HOMES, INC.