1976, 12-07 Permit App L6411 ResidenceLinty of Spokane. Wadiligfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 cork 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 wor C 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
5' Highway, clearance must be obtained from the County Engineer and/or State Highway Department. 4
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 E. 12929 SPRAGUE AVE. Phone 928-1991
Architect Address SPOKANE, WASHINGTON 99216 Phone
Engineer Address Phone
Contractor FRANK MADDEN Address ' Phone
Legal Description of Property (Give complete description from deed, tax receipt, U-v'
Lot 14, Block 2 - Wellesley Manor 4th
County of Spokane, State of Washington
DESCRIPTION OF WORK: New X Addition Remodel
sim) oi,Lot 52>475X227,485 I rrequ1ar
Stories �" Dimensions 381 X 251
Rooms ____14_ Baths 1 Basement Full Foundation Const Concrete
(Full, part, none)
Heat. System E. B• B• Type of Roofing Comp. Ext. Finish
Use of Bldg. Residence
Addition
Moving Bldg. Zone
Sewage System S.T.
Total Sq. Ft 982
1
Wood
Fire Zone
Const. Frame
Fr., Conc., Br., etc.)
Valuation 28, 75n
Chimney (Kind) Nrne Fireplace Iy�Nm None:
ber
Int. Wall Finish Drywa I 1
No. of Units 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
RESIDENTIAL — COMMERCIAL
(See Attached Drawing)
/76'
SOUTH
I hereby certify information submitted
as shown.
State License No.
233-011-GE-NI-EH 307MA
Ind. Ins. Acct. No.
189-52
REQUIRED
Plumbing Permit
en Heating Permit Fobco
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct an, there are no other structures located on this property except
,A/li►1.('i :v ei DECEMBER 7, 1976
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
GENIE HOMES, INC.
Owner or Agent
Sewage Permit Number Issued
Remarks
Mucllcr
DO NOT WRITE BELOW THIS LINE
Your street address will bet 1./47
Building Permit
The zone is _sfR
65/// Receipt .111-17 Issued
Form A23 Ride. rem -le
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