1976, 09-22 Permit App: L5592 Residence Ccw.anty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .___
45 I
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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. d
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
I 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. 9803 Sprague 9g12b4, Phone 928-1991
Architect Address Phone
Engineer Address Phone
Contractor Frank Madden Address
Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 4, Block 2, Wellesley Manor 4th Addition, County of Spokane
State of Washington
.3&..) oC 6, -` ''f
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone \,7
Size of Lot 93 X 158 Sewage System S.T. Const. Frame
(Fr., Conc., Br., etc.)
Stories 1....._Dimensions 24X34 Total Sq. Ft. 846
Valuation a27iS-7)
Rooms 4 Baths___.1___ Basement Full Foundation Const. Concrete Chimney None Fireplace None
(Full, part, none) (Kind) Number
Heat. System EBB Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Single Residence
No. of Unitsl 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 RESIDENTIAL — COMMERCIAL State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
(SEE ATTACHED DRAWING)
REQUIRED
Plumbing Permit Mueller
nr Heating Permit Fob co
ma
w H Sewage Permit Eller Rosa
'.4 —i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
GENIE HOMES, INC. BY: �a`U'�� Sept. 22, 1976
Owner or Agent \ l ���ate i
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PR S BE ORE CONSTRUCTION COMMENCES. t
THIS IS NOTA PERMIT.
C9-�c, Til, 2.,.f o DO NOT WRITE BELOW THIS LINE 1
Your street address will be ')/176a ? u,.4CThe zone is JC4ri I i �l z4a../
Sewage Permit Number Issued Building Permit, 5 3/,3 Receipt 1_ ',! '.14- Issued
Remarks
Form 523 Bldg. Code
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