1974, 08-08 Permit App: K5455 Residence r .
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ;
GENERAL REQUIREMENTS PERMIT FEE . 7' 7
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 must conform with the l
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
ithe 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.
n SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
9 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 Address S. 3915 Sundown Phone 924.6497
Architect Phone Engineer Phone
Contractor Frank Madden Address S. 3915 Si ndptan Phone 924-6497
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 9, Block 1 , u1ellesley Manor 2nd. Additicn B-894 Job#16
DESCRIPTION OF WORK:New XX Addition Remodel Moving Bldg.Zone 1 Fire Zone
Size of Lot 81 .311 x 137.261 Sewage System Septic Stories 1 I
Const. Frame Dimensions 36x25 Gara;:,e 20x25 Total Sq. Ft. 1770 Valuation $28,500.00
(Frame,concrete,brick,etc.)
Rooms 6 Baths 2 Basement full Foundation Const. Concrete Chimney none Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. Systeml'f ee. B-Bd Type of Roofing ramp Ext. Finish Wood Int. Wall Finish Gyp. Board
Use of Bldg. Residence No. of Units Bedrooms Li.
Garage or Carport Attached Attached Private Detatched
ctI PLOT PLAN
Draw sketch wi' 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 State License No.
1 223-01-11125
Ind. Ins. Acct. No.
894 Main Floor
336 Lower Level
500 Garage __ REQUIRED
1770 Total Sq. Ft. Plumbing Permit Mueller
* in Heating Permit Dahlen Electric
in us us Sewage Permit Loshbach
Drawing Attached Plans Received
Plans Checked
Plans Returned
Plans Picked Up
,` Plans Mailed
7
Q SOUTH
I herec rtify infori/ ion submitted is correct and there are no other structures located on this property except
'
as shown. 7 j
Owner or Agent Date
A LAND U E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6- 444-.e DO NOT WRITE BELOW THIS LINE
Your street address will be E. .,/ c.,./.-:-,),_-,----
., 1 f,� 2 ,,,J C. ti 1
,/I�,(.,tiL � �e zone is s� - �12.Gi.
Sewage Permit Number Issued Building Permit CLW Receipt L,k2 / Issued
Remarks
Form 523 Bldg. Code
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FHA Case #: Job #: 14
Address :
Mortgage Co. : SPECIAL INSTRUCTIONS:
Power Co . : Water Co. :
Plumber: Excavator: