1976, 06-21 Permit App: L4429 Residence(
County 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 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, I I.: _ Address 9723 E Sprague 99206 Phone 976-8400
Architect Address
Engineer Address
Contractor Frank Madden Address
E. 17021 Wellesley 99216
Phone
Phone
Phone
924-6497
Legal Description of Property (Give complete description from deed, tax receipt, etc
Lot 5, Block 1= Wellesley Manor 3rd Addition. County of Spokane.
3(06-Y3 - (-rC,(717
State of Washington
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 96 X 128
Stories Dimensions 314X 24 X 32
Rooms A._ Baths 1 Basement F111 1
(Full, part, none)
E.B.B. Type of Roofing Comp.
Heat. System
Use of Bldg.
Moving Bldg. Zone _L— Fire Zone —I
Sewage System Sept.
Total
const. Frame
(Fr., Conc., Br., etc.)
Sq. Ft 839 Valuation 27,850
Chimney None Fireplace None
(Kind) (Number
Int. Wall Finish Drywal 1
No. of Unitsl. Bedrooms 2
Foundation Const Concrete
Ext. Finish Wood
Residence -No Garage
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
-
NORTH
RESIDENTIAL — COMMERCIAL
Total Finished Sq.Ft. 839
(see attached drawing)
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
REQUIRED
Plumbing Permit Mueller
Heating Permit
Sewage Permit Eller Rosa
Fobco
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert' y information s -d is correct and there are no other structures located on this property except
as shown.
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
1.,z'.) DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Buildin
Remarks
( .6„z;
The zone is x if, 1.(:./ i t: i t44 t
ceipt //;:f -Z Issued
Form 523 Bldg. Code
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