1979, 04-05 Permit App: N2558 Residence Cour y of Spokane, Washin ''on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 100.50
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set-backs.
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 building(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.
il, iAri(, APPLICANT FILL IN BELOW THIS LINE
Name of Owner �
C Nte 1, �Ii�L Address P.O. Box 14410 _ Phone 928-6090
Architect .. _ Address Phone _
Engineer_ Address _ _ Phone
Contractor Frank Madden Address P.O. Box 14410pp�� Phone 928-6090'
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel NumberR)RTio/J OF 0t5/71-9036
LOT• a FLOCK 2. Sof3NIiALE Peds -
_ County of Spokane, State of Washington
DESCRIPTIO OOF�Fq,WORK: New V _ Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot __0 .2( ��S Sewage System PI Const. 'RA C
(Fr., Conc., Br., etc.)
Stories . Dimensions 64 X* 28 22 x 23 With garag`ec Total Sq. Ft. 22p9�8� Valuation((71900
Rooms (0 Baths 2 Basement FULL Foundation Const. CONCR T Chimney C1—K Fireplace 2
(Full, part, none) �������� (Kind) (Number
Heat. System FAE Type of Roofing stkM.E Ext. Finish (A:XXInt. Wall Finish DRIWI i-L—
Use of Bldg. CJ P 4,.1�7_ ('��� No. of Units 1 Bedrooms .a
ROADWAY R/W WIDTH j Qii Elie LEY°
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.
233-014i/7g 11125
Ind. Ins. Acct. No.
189-592
SIDENTL - COMMERCIAL
REQUIRED
See Attached nA �''�T,
Plumbing Permit If`
T > Heating Permit
t1 0 Ah
'T Te
t^ �, Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted or,:ct and /11-re are no other structures located on this property except
i as shown.
GENIE HOMES, INC. BY: Ohl April 1979
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
(974.ci 141410_,E DO NOT WRITE BELOW THIS LINE
�S
Your street address will bet , /z 7/6 'i/ �T l Building a zone is aC1 L/lit' Ct�fb?1-1
Sewage Permit Number_ Issued_ Bui ding Permit )V y Receipt Ooqg Issued
Remarks
Form 523 Bldj. Code
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