1977, 02-11 Permit App L6915 ResidenceM-175
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE �7.00
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 must be
, rformed 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 Stat.
I) 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 lad
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Phone
Name of OwAddress
ner Genie Homes, Inc. E. 12929 Sprague Ave. 928-1991
Architect Address Spokane, WA. 99-L16 Phone
Engineer Address Phone
Contractor Frank Madden Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 2, Block- Alki Subdivision
County of Spokane, State of Washington
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot , 107.43 X 220'Sewage System S • T • Const. Frame
(Fr., Conc., r, t
Storiesmensions 2141 X VI ' Total Sq Ft 846 Valuation 3�,`00
Rooms Baths_1— Basement _Full Foundation Const Concrete Chimnne Fireplace None
(Full, part, none) (Kind)
( umber
Heat. System E.B.B. Type of Roofing Comp Ext. Finish Wood Int. Wall Finish DryWal
Use of Bldg. Residence No. of. nitsl_Bedrooms2
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locafil.'s; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of build ngs; (6) location of sewage sys-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
SEE ATTACHED
SOUTH
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
REQUIRED
Plumbing Permit M u e l l e r
m Heating Permit Fobco
YIP Sewage Permit Eller
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
�cr1/ \ ;\�\ February 11, 1977
C A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PRE
(THIS IS NOT A PERMIT.
I hereby certify information submitted is cor ect and the El are no,sother structures located on this property except
as shown.
GENIE HOMES. INC. BY:
Owner or Agent
ate
BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
^`mil
Your street address will be L; `� :�'� Cj t,�,`ti,.1L� The zone is L'�L.j�►l
Sewage Permit Number Issued - "'""
Remarks
Form 523 Bldg. Code
-1-41
CAPF Cc -L,
IWE W NLY�
-- I07.