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 27.00
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. 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. Address E. 12929 Sprague Ave. Phone 928-1991
Architect Address Spokane, WA. 99216 Phone
Engineer Address Phone
Contractor Francis M. Madden Address E. 12929 Sprague Ave. Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
The West 80 feet of the South 347 feet
of the East i of the East 2 of the N. E.1 of the N. E.4 of Section 24, T.25N. , R.44E.W.M. in
Spokane County, WA. except the South 25 feet thereof of 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. ConsCt. Frame
(Fr., onc., Br., etc.)
Stories imensions 24' x 34' Total Sq. Ft. 846 Valuation 33.950
Rooms t Baths 1 Basement Full Foundation Const. ConC. Chimney ---- Fireplace
(Fu(l, 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 1 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
nInd. Ins. Acct. No.
.1,,,t3/ ( - 189-592
/f` RESIDENTIAL—COMMERCIAL
_
(if
41/ /Y" t REQUIRED
Plumbing Permit Mueller
rw Heating Permit Fob CO
ow
in
~ J H Sewage Permit RO s a
/ __,,t7(--- /&3/ ' -4
Plans Received
�� Plans Checked
' '/// Plans Returned
vPlans Picked Up
`
da./ . Plans Mailed
SOUTH
I hereby certify information submitted is correct and there ar no other structures located on this property except
as shown. GENIE HOMES, INC. BY: \Q(r��i\ C . y. `-, ,� October 28, 1977
Owner or Agent \ \�\ \ ' ,Dat - d \{ l
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE P EM S BEFORE CO STRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW TH LINE �j
Your street address will be 4,. 11011 - 4th. Ave. �d3`The zone is4Agricultural
n�
Sewage Permit Number Issued Building Permit Receipt 0 4)1 Issued
Remarks
f .
Form 523 Bldg. Code
,
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