1977, 10-28 Permit App: M4038 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .___27:Q0
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 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. AddressF- 12999 Sprague Ave Phone 9.98-1991
Architect AddressSpnkane, WA_ 99716 Phone
Engineer Address Phone
Contractor Francis M. Madden AddressE 17929 Sprague Ave_ Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
The South 347 feet of the East z of the East z of the N. E.k of the N. E.2 of Section 24,
T.25N. , R.44E.W.M. in Spokane County, Washington except the East 254 feet; also except
the South 25 feet thereof for roadway purposes.
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 801 x 397' Sewage System S.T. const. Frame
(Fr., Conc., Br., etc.)
Stories 1 ZDimensions 2 X 3 33,950 Total Sq. Ft. 846 Valuation
Rooms Baths1 Basement Full Foundation Const. COLIC. Chimney ---- Fireplace ----
—Trial, part, none) (Kind) (Number
Heat. System E.B .B . Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residence No. of Units L 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 State License No.
233-01 -11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL-COMMERCIAL
REQUIRED
SEE ATTACHED Mueller
Plumbing Permit
* n+ Heating Permit Fobco
to N Sewage Permit Rosa
y -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitter# correct and t ere are other structureR lova ed on this property except
as shown.
GENIE HOMES, INC . BY: k �"�' . r‘t Gt O t�ber 28, 1977
�, 4 \ v at
Owner or Agent ,Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PRENIIIS ,BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE 3
Your street address will be '" _ '- - 4th. Ave. I "! .e zone is Agricultural
Sewage Permit Number Issued Building Permit 1 Receipt 01407 Issued
Remarks
Form 523 Bldg. Code
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