1976, 08-17 Permit App L5120 ResidenceC my of Spokane, Wasie9fon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
7
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 ttust 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
GENIE HOMES, INC.
Frank Madden
Name of Owner
Architect
Engineer
Contractor
Legal Descripti
Address
Address
Address
E. 9803 Sprague l('QL,-/ Phone 928-1991
Address E. 9803 Sprague
on of Property (Give complete description from deed, tax receipt, etc )
Lot 16, Block 2, Wellesley Manor 4th Addition, County of
Spokane, State of Washington 3 6
Phone
Phone
Phone 978-1991
DESCRIPTION OF WORK: New X Addition
Size of Lot 80 X 143 Irr.
Stories 2 Dimensions 24 X 34
Rooms 4 Baths 1 Basement Full
Fu I, part, none)
Heat. System
Use of Bldg.
�1
Remodel
Moving Bldg. Zone 1 Fire Zone 3
Sewage System S . T.
Foundation Const Concrete
EBB Type of RoofingComp. Ext. Finish Wood
single fam' y residence - NO GARAGE
� �-- �� PLOT PLAN
Draw sketch with ensions showing: (1) property lines;
proposed buildings; (4) di.`---- t- -
tem and water supply lines.
NORTH
lines and
const. Frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 846 (Kind) Valuation 27.850
Chimney N/A Fireplace None
(Number
Int. Wall Finish Drywall
No. of Units' Bedrooms 2
(2) street or road locations; (3) location of existing and
(5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL
— COMMERCIAL
• (SEE ATTACHED DRAWING)
SOUTH
I hereby certify information submitted is correct
as shown.
GENIE HOMES, INC.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
/nno n L. �! I i7 /
Number Issued
Your street address will be f1
Sewage Per
Remarks
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
REQUIRED
Plumbing Permit
Heating Permit Fob co
Sewage Permit Eller Rosa
Mueller
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no
other structures located on this property except
August 17, 19i6
Building Per! / .»J`�O Receipt 7,j ' (�ssued
Form 523 Bldg. Code
/ 6 '
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