1976, 06-21 Permit App: L4428 ResidenceCounty 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 an.y
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 E. 9723 Sprague Ave.
Architect Address 99206
Engineer Address
Contractor Frank Madden Address E. 17021 Wellesley
Legal Description of Property (Give complete description from deed, tax receipt, etc) 99216
Phone 926-8400
Phone
Phone
Phone 924-6497
Lot 6, Block 1, Wellesley Manor 3rd Addition, County of Spokane, State
(1-(04/ -3 - (70.4/7
of Washington
DESCRIPTION OF WORK: New X Addition
Size of Lot 96 X 128
Stories -r_ Dimensions 24 X 32
Remodel
Moving Bldg. Zone 1 Fire Zone
Sewage System Sept -
ryonst. Frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 839 Valuation 27,850
Rooms _h— Baths 1 Basement Fu 1 1 Foundation Const Conr rete Chimney Nnne Fireplace(
ireplace None
(Full, part, noneT'-- (Kind) (Number
Heat. System EBB Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywal 1
Use of Bldg. Residence—No Ga rage No. of Units J. 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
Total Finished Sq.Ft. 839
(see attached drawing)
I hereby certify
as shown.
SOUTH
formation su
State License No,
233-01-11125
Ind. Ins. Acct. No.
189,592
REQUIRED
Plumbing Permit Mueller
m Heating Permit Fobco
Sewage Permit Eller Rosa
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT;
k''Lez-p=l-C%
Date
DO NOTy- RITE BELOW THIS LINE
Your street address will be /(Cl/S/ c , (�� QThe zone is Zcj.L:,-/.7 f t _eL �L
Sewage Permit Number Issued Bni�lding Permi / Receipt 1/ 3'. Issued
Remarks
Form 523 Bldg. Code
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