1978, 09-27 Permit App: N0814 Residence County of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ` ,.
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT " "`•,
GENERAL REQUIREMENTS PERMIT FEE 62.00 /�'. ,f'/
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or str ure N;1.'.
kind or alter any building or structure already erected, or to change a land use. Construction must c form with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
7 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 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 phone 928-6090
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Port ion of 23543-1801
Lot 3 Block 2 Van Hees Addition
County of Spokane, State of Washington
R/v1 width 50'
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
8Size of Lot 3 X 1 37 --- -sewage System S.T. Fonst. tame
� � Fr., Conc., Br., etc.)
Stories____I.Dimensions 52' x 24' includes sinqle garage Total q.Sr"Ft -Valuation 40 2950
Rooms 5 BathsI Basement ful 1 Foundation Const. Concrete Chimney ----- ireplace
Ful, part, none) (Kind) (Number
Heat. System EBB Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residence single car garage 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
Ind. Ins. Acct. No.
189-592
RESIDENTIAL-COMMERCIAL
REQUIRED
SEE ATTACHED Plumbing Permit Mueller
in Heating Permit AMA
PI 10
H ut Sewage Permit Rosa
.i .4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is corr d here' y �
a . other` structures� located on this property except
as shown. Am.
GENIE HOMES, INC. BY: • ��11i'� — Sept.
7 1978
Owner or Agent Date t
7 A LAND USE OR STRUCTURE PERMIT MUST ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. ,
THIS IS NOT A PERMIT.
A 4Q,L DO NOT WRITE BELOW THIS LINE
Your street address will be E. 14210 13th /) The zone is Single family
Sewage Permit Number Issued Building Permit Receipt , 7.22t-Issued
Remarks /
Form 523 Bldg. Code
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ADDRESS ' ' i'�'If1;2Ib I f-3I� 4E HOME 41,E e, '! $'6aitR6 4
LEGAL DESCRIPTION ' !Z e' I 1.
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APPLICANT �'�/L)'I I-J6fFL �� G FLOW R �,ea, I ' } ;_ '
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JOB NO. - !9 , _�--_ ' ' . 41i._ __I ._ ATER I ! i fi
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