1979, 04-05 Permit App: N2555 Residence Cour - f of Spokane, Washin� on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 78.00
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.
y WATER.Water supply must be approved by the County and State Health Departments.Where work on water connections disturbs the surface, shoulders c
or ditches of County Roads,permission must be obtained from the County Engineer's Office.
iSEWAGE 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.
��r- i APPLICANT FILL IN BELOW THIS LINE
Name of Owner_(CKtE [ E. Address .__ P.O. Box 14410 Phone 928-6090
Architect - - AddressPhone __
Engineer_ Address Phone
Contractor Frank Madden Address P.O. Box 14410nn ee Phone 928-6090
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel NumberPLO ROA' OFD/S4/—JO3b
L T . i3Lbc Sta3NIJv( ALE ACRES —
6 Two
County of Spokane, State of Washington _
DESCRIPTION OE WOR
/T(: NNew . Addition Remodel Moving Bldg. Zone ..._ / Fire Zone 3
Size of Lot 601 X 295 Sewage System -111 C.. ,Const. r -42
Fr., Conc., Br., etc.)
stories Dimensions 26 x 50 garage under �7
Total Sq. Ft. � Valuation i
Rooms (S.J Baths 2 Basement FULL Foundation Const. COMCRETE Chimney_ K Fireplace 2
�rA (Full, part, none) `�A�/ �p,�.� (Kind) (NumberA
Heat. System FAE Type of Roofing SAA1�E Ext. Finish lira) Int. Wall Finish 1J/WALL..
Use of Bldg. sr �� 14 , ' j — No. of Units I Bedrooms
ROADWAY R/W WIDTH 7 el - -_,
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.
QfiY 233-01-11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL- COMMERCIAL
REQUIRED
Plumbing Permit Mueller
See Attached m Heating Permit (IQ /m
a
ul
T-4 Sewage Permit �
-4
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted i ,r t and re are no other structures located on this property except
as shown.
GENIE HOMES, INC. BY: APRIL .5 1979
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
61.4,L -74/4"3/42.4,2 DO NOT WRITE BELOW THIS LINE
Your street address will be / > '' ,I
4.,AS _� l i(�t L" t'� _The zone is J. ,','.", -/ '�14 ,,--
Sewage Permit Number Issued-_ Building Permit Receipt ?i.:21. _ ISsued
Remarks A
S
Fon, 523 Bldg. Code
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