1977, 12-05 Permit App: M4334 ResidenceM-250
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 38.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
kind or alter any building or structure already erected, or to change a land use. Construction mast 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. 12929 Sprague Ave. Phone 928-1991
Architect Address Spokane. WA. 99216 Phone
Engineer Address Phone
Contractor Francis M. Madden Address E. 12929 Sprague Ave. Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number U'q 00 - O ?a y
Parcel "A" - The East 68.00 feet of Lot 9. Fairacres. according to plat recorded in
Volume "K" of Plats, Page 16, in Spokane County, Washington
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DESCRIPTION OF WORK: New XX Addition RemodelMoving Bldg. Zone 1 Fire Zo.e
Size of Lot 68' x 231 ' Sewage System S • T • Const. Frame
1354 (Fr., Conc., r54et b0
Total Sq. Ft Valuation '
Rooms Baths1Ful, part, none)
Basement Fu 1 1 Foundation Const Concrete Chimney Fireplace
Stories Dimensions 24' x 34'
(Kind) (Number
Heat. System E.B.B. Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residence No. of Units 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
SEE ATTACHED
SOUTH
I hereby certify information submitted is corr ct and
as shown. 1.
GENIE HOMES BY:
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON T
THIS IS NOT A PERMIT.
&vL -11
op
Your street address will be
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit Mueller
rw Heating Permit Fobco
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures 1 ated on this property except
Tre \ Date
MISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELO THIS LINE
East /Dq/5" Fairview Av
Sewage Permit Number Issue.
Remarks
Building Permit
J3
The zone is
f^
Receipt 0 X i Issued
VV
ricu1tural
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Form 523 Bldg. Code
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GENIE HOMES, INC, - Francis M. Madden 846-11
Spokane Valley |rrlg. Dist.
Parcel 'Y\" - The East 68'00 feet of Lot 9, Fairacres, according to plat recorded in
Vol me "K// of Plats, Page 16, in Sookane County, Washington.
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