1978, 09-27 Permit App: N0803 Residence T
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT iCLI---
GENERAL REQUIREMENTS PERMIT FEE 50.00/$
A PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
dl' kind or alter any building or structure already erected, or to change a land use. Construction must conform with the V
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
I 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.
1 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 P.0. Box 14410 phone 928-6090
Architect Address Spokane, Wn. 99214 Phone
Engineer Address Phone
Contractor Francis M. Madden Address P.O. Box 14410 mume 928-6090
Portion of 23543-1801
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 4 Block 2 Van Hees Add_i ti on
County of Spokane, State of Washington
R/W width 50 '
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone I Fire Zone 3
Size of Lot r -. 3 '
/ 82 x 1 7 Sewage System S_T_ Const. Frame
. \/ \ (Fr., Conc., Br., etc.)
Stone - D = sions 24 'X38 ' �6 TN Z J Total Sq. Ft. - Valuation 41 ,500
Rooms 5 Baths 1 Basement full Foundation const. Concrete Chimney Fireplace-
Fu 1, part, none) (Kind) (Number
Heat. System EBB Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish f)rywa1 1
Use of Bldg. Residence No. of Units]Bedrooms 9
4 th• S U / 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 ( 2' State License No.
233-01 11125
if ct Ind. Ins. Acct. No.
i ( 189-592 •
RESIDENTIAL-COMMERCIAL
REQUIRED
SEE ATTACHED
Plumbing Permit Mueller
f M Heating Permit A&M
ref Rosa
to to Sewage Permit
-I -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
7 as showI hereby certify information submitted is corgi, .. here o other structures located on this property except
n. GENIE HOMES, INC. BY: t Sept. 2.7 1978
Owner or Agent0 Date
A LAND USE OR STRUCTURE PERMIT MUS ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. S
THIS IS NOT A PERMIT.
6:4( 11 Jh DO NOT WRITE BELOW THIS LINE
Your street address will be
E. 14204 13th i (6 (� ' Single family
M. The zone is
Sewage Permit Number Issued Building Permit Receipt K2, „Z Issued
Remarks 0-337
Form 523 Bldg. Code
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