1976, 04-23 Permit App L3546 ResidenceCounty 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 r 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 47.2,35.
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 9723 E. Sprague Suite 2 Phone 926-8400
Architect Address 99206 Phone
Engineer Address Phone
Contractor Frank Madden Address 17201 F. Wellesley 99216 Phone 924-6497
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
Lot 3, Block 2 Wellesley Manor 3 Addition
Mew Plat (36-26-44)
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 91 x 1 42 i
Stories Dimensions 321 x 24 Total Sq. Ft valuation 26,750-
Rooms 4 Baths 1 Basement ful 1 Foundation Const concrete Chimney 1�1L Fireplace //i
(Full, part, none) (Kind) (Number
Heat. System FRR Type of Roofing Corer Ext. Finish Wood Int. Wall Finish drywall
Use of Bldg. Res i dPncP - no garage No. of Units ..1.-Bedrooms 2
Moving Bldg. Zone
Sewage System Sept lc
1 Fire Zone 3
nst. f ramp
(For.. Conc., Br., etc.)
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.
en
NORTH
RESIDENTIAL — COMMERCIAL
TOTAL IfIN(SHED SQ. FT. 839
(SEE ATTACHED DRAWING)
SOUTH
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
REQUIRED
Plumbing Permit Mu e l 1 er
nr Heating Permit Fobco
Sewage Permit Eller Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
own.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISE EFORE C • NSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
./C l/(7)DO NOT WRITE ELOW THIS LINE
Your street address will be ' / " t;
�/ • �t "e- e :� r G,.Z. =77- The zone is -
Sewage Permit Number Issued Building Permi 3,(14 Receipt f'T 2-5 Issued
Remarks
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Basic;, Sq. Ft Legal: Lot 3, Block 2, Wellesley
FHA CaseP: Job 9: Address:_ 4812 Isenhart N.
Mortgage Co: SPECIAL INSTRUCTIONS:
Genie Homes, Inc.
j Power Co: ljater Co:
I Plumber: Excavator:
3rd Addition
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