1976, 06-21 Permit App: L4430 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 aw
kind or alter any building or structure already erected, or to change a land use. Construction must conform with title
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 disturb:
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
d <.
Name of Owner
Architect
GENIE HOMES., INC.
Engineer
Contractor
Frank Madden
Address F 9723 Sprague 99206 Phone
Address Phone
Address Phone
Address
926-8400
17021 E. Wellesley 99216 phone 924-6497
Legal Description of Property (Give complete description from deed, tax receipt, etc
Int 8, Block 1, Wellesley Manor 3rd Addition, County of Spokane
State of Washington 3 ` � `7
DESCRIPTION OF WORK: New X
Addition Remodel
Size of Lot 96 X 141
Stories Dimensions 24 X 32
Moving Bldg. Zone
1 Fire Zone 3
Sewage System Sept. (y'�onst.
L Frame
(Fr., Conc., Br. etc.)
Total Sq. Ft 839 Valuation �7, $)0
Chimney None FireplaceNone
(Kind) DR a (umber
Int. Wall Finish
No. of Units Bedrooms 2
Rooms _Baths 1 Basement Ful 1 Foundation Const Concrete
(Full, part, none)
Heat. System EBB Type of Roofing Comp.
Use of Bldg. REs i deuce—No Garage
Ext. Finish Wood
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
N
NORTH RESIDENTIAL — COMMERCIAL
Total Finished Sq.ft. 839
(see attached drawing)
SOUTH
I hereby certif nformation su tted car ect and
as shown. J 6 I
Ow er or Agent Date l(`
A LAND USE OR STRUCTURE PERMIT M ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
v, rt "7 i"l.*x 4 (moi DO NOT
Your street address will be L /&/1.)(0
Sewage Permit Number
there are
State License No.
233-01-11125
Ind. Ins. Acct. No.
189,592
REQUIRED
Plumbing Permit Mue 1 1 e r
Heating Permit
Sewage Permit
Fob co
Eller Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Issued
Remarks
ELOW !HIS LINE
Building
l
The zone isx'.•—Gtti«,%
113(,) Receipt /! a Issued
Form 523 Bldg. Code
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