1976, 08-13 Permit App: L5077 ResidenceCo.inty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS 912
PERMIT FEE ° —
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure,.}f any
kind or alter any building or structure already erected, or to change a land use. Construction mast conform w h 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. 9803 Sprague 99206 Phone 928-1991
Architect Address Phone
Engineer Address Phone
Contractor Frank Madden Address It ft ft Phone It u
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 6, Block 1, Wellesley Manor 4th Addition County of 3 6_.- 6,_ U e7
Spokane, State of Washington -C-t-% -726--.
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone 3
—1
Size of Lot 1 20X128 Sewage System SQpt onst. Frame
_
(Fr., Conc., Br., etc.)
Stories _1 -_Dimensions 24X34 with double Garage 20X24 Total Sq. Ft 1326 Valuation 29,950
Rooms 4 Baths li Basement Full Foundation Const Concrete Chimney N/A None
Fireplace
Full, part, none) (Kind) (Number
Heat. System EBB Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residence with doubld 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
State License No.
233-01-11125
Ind. Ins. Acct. No.
189 –592
TOTAL SQ. FT.
House 846
Garage 480
REQUIRED
Plumbing Permit Mueller
*
1326
m Heating Permit Fobco
ni
ut
N Sewage Permit Eller Rosa
y
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH C
--'I hereby certify information submitted is correct and there are no other structures located on this prope y except
as shown.
GENIE HOMES,INC. BY: 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.
DO NOT WRITE BELOW THIS LINE
'
Your street address will b The zone
/6)(9,.Q/ , /
t i
ri�s ,�'
Sewage Permit Number Issued Building Permit /fi 7 �teceipt cY J7
ssued
Remarks
Form 523 Bldg. Code
8asic Rancher
`
Ft: /326,
(:)/6\
Legal: /nr 6/64.e
Address :
GENIE HO S, INC.
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Power C •
Pl`
um�er: Muelle
ammninlailEMS
Water Co: •
blleg
ExcSvotor: Rosa
SPECIAL INSTRUCTIONS:
GENIE HOMES, INC,