1977, 11-03 Permit App: M4034 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 most 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�pf 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
32.00
Name of Owner Genie Homes, Inc.
Address E. 12929 Sprague Ave. Phone
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 9.4•S141- eie">()
The North 75 feet the South 422 feet of the East * of the `East * of the N.E. of the N.E.*
,of Section 25, T.25N., R.44E.W.M. in Spokane County, Washington except thl.East 25 feet
928-1991
thereof for roadway purposes.
DESCRIPTION OF WORK: New XX
Size of Lot 75' x 309'
Stories Dimensions
Addition
Remodel
24' x 34' w/Sql.
Ga rage
Moving Bldg. Zone
Sewage System S.T. CF�nsConcF Brm etc.)
rae
Xi s 2 Total Sq Ft 1 088 (valuation 33 , 500
1
Fire Zone 3
Rooms ___4_ Baths Basement Fill 1 Foundation Const. Cnnr _
(Ful I, part, none)
Heat. System E.B.B. Type of Roofing Comp Ext. Finish Wood
Use of Bldg. Res i dence - Sg 1 . Garage
Chimney (Kind) Fireplace umber
Int. Wall Finish Drywa
No. of UnitsBedrooms
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.
m
a
NORTH
SEE ATTACHED
SOUTH
I hereby certify information submitted is correct and the
as shown. GENIE HOMES INC.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMIS
THIS IS NOT A PERMIT.
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL - COMMERCIAL
REQUIRED
Mueller
Plumbing Permit
wr Heating Permit Fobco
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
e;, are no other structures locate on this property except
NN:() (J1\ 3, 1977
DO NOT WRITE BELOW THIS LINE
TRUCTION COMMENCES.
.1 Tour street address will be
, 6ewage Permit Number Issued Building Permit
Remarks
Flora
4
The zone is Agricultural
stV 3K Receipt C A 7Issued
Form 523 Bldg. Code
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OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
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Date
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