1974, 08-08 Permit App: K5457 Residence Tvowr ". —
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT eie
GENERAL REQUIREMENTS PERMIT FEE_. "
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 Address 5.3915 Sundown phOIIe928-6497
Are itect Phone Engineer Phone
Co tractor Frank Madden Address S. 3915 Sundown Phone 928-6497
L.gal Description of Property (Give complete description from deed, tax receipt, etc.) Job #25
W 90' of the E. 474' of The n2 of the Tract 199 of Opportunity. Except N25' ,
in Sec. 21 , T25N, R.44EWM.
DESCRIPTION OF WORK:New XX Addition Remodel Moving Bldg.Zone 1 Fire Zone 3
2ConsSize of Lot 90' 1C138.1 Sewage System Septic Stories 1-1-
Const.
t. Frame Dimensions 39x24' plus Gar. 20 X 24' Total Sq. Ft. 1936 Valuation $23,950.00
(Frame,concrete,brick,etc.)
Rooms 6 Baths 2 Basement full Foundation Const. Concrete Chimney NoneFireplace 2
(Full, part, none) (Kind) (Number)
Heat. System El. baseboazlepe of Roofing Comb. Ext. Finish Wood Int.Wall Finish Gyp. $d.
Use of Bldg. Residence No. of Units Bedrooms 4
e or Carport Attached
Attached Private Detatched
PLOT PLAN
Draw ketch 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.
223-01-11125
Ind. Ins. Acct. No.
Main Floor 976
Lower Level 480
Garage 480 REQUIRED
t :tal Sq. Ft.1936 �
Plumbing Permit
* m Heating Permit Dahlen Elec.
m Drawing Attached ra Loshbaugh
411 H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I h eby certify tion submitted is correct and there are no other structures located on this property except
as shown /
7t/ alt C�✓-� 1(=I- 7 it
Owner or Agent
Date
A LAND IE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION O COMMENCES.
THIS IS NOT A PERMIT.
Owt.i 14/k1DO NOT WRITE BELOW THIS LINE
Your sheet address will be ei //if, a.A4 .Le-, le zone a i__,{-__ • I
Sewage ermit Number Issued Building Permit {)ateceipt t, .2 7 Issued
Remarks �///
Form 523 Bldg. Code
Ill
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FHA Case #: Job ti.: 25 11
Address :
Mortgage Co . : N
SPE�'I�I�,L I�1S'I'IZtli'TIVLIS :
Power Co . : Vater Co . :
Plumber : Excavator :
1 - - 4