1974, 08-08 Permit App: K5454 Residence ,.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0�
GENERAL REQUIREMENTS PERMIT FEE le)
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
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 uy County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. Q\
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
High,pq��,
Ay, clearance must be obtained from the County Engineer and/or State Highway Department,
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BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RISTRICTIVE 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 3. 3915 Sundown Phone 924. 49.�Y�'r�
—
Architect Address _._ Phone
Engineer Frank Ma .den Address S• 3915 Sundown Phone 924-b497
Contractor Frank Madden Address Phone 924-61497
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
B-976-Job +17
Lot 11 , Block 3. Wellesley Manor 2nd. Addition
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 951 X 1421 Sewage System Septic onst. Frame
(Fr., Conc., Br., etc.)
Stories 11 Dimensions 39 x 241 Garage 20 x 24 Total Sq. Ft. 1936 Valuation$23,950*00
Rooms h Baths 2 Basement full Foundation Const. Concrete —Chimney None Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System Elec• BBd Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish • Bd•
Use of Bldg. Residence No. of Units_Bedrooms 4
vse 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 State License No.
223-01-11125
Ind. Ins. Acct. No.
976 Main Floor
480 Lower Level
480 Garage REQUIRED
19 Total Sq. Ft.
Plumbing Permit Mueller
* m Heating Permit Dahlen Elec.
N Drawing Attached En Sewage Permit Loshbach
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I herebrFe ify infp tin submitted is correct and there are no other structures located on this property except
as shown. ii ,1 ',t f) -0
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Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(91,14., 14(4.42 g DO NOT WRITE BELOW THIS LINE
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Your street address will be e „--.),/6E. ,�/ / ,The zone is Atfl-<{,,4. - /� )- -
Sewage Permit Number Issued Building Permit l 'e f)/ `Receipt (�09.27 Issued
Remarks _
Form 523 Bldg. Code
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Case #:\., Job #: filii / 7
Address :
Mortgage Co. ' Fi rstbank SPECIAL INSTRUCTIONS :
Power Co. : Water Co . :
W w p Trentwond
Plumber: Ft), 'n IYaitgW.
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