1976, 02-14 Permit L6917 ResidenceSize of Lot
M-177
Cd. inty 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 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
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
Hig way, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCE SORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with thee,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, WA. 99216 Phone
Engineer Address Phone
Contractor Frank Madden Address " ' I Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
AA 11611SL.4,i.
1
Lot 4, Block 1 Alki Subdivision
County of Spokane, State of Washington
DESCRIPTION OF WORK: New XX
107.29 x 220'
Addition
Remodel
Moving Bldg. Zone 1 Fire Zone 3
Stories _!lybimensions 24' X 34'
Sewage System S.T. Const. Frame
(Fr., Conc., Br., etc.)
Total Sq Ft 846 Valuation $ 30,800
Rooms __Baths (Full,Basement
parse none_Fill
i11 Foundation Const.. Concrete Chimney (NOnd)e Fireplace( Numobneer
ireplac(Numbeer
Heat. System E.B.. B Type of Roofing _ Comp Ext. Finish Wood Int. Wall Finish D rywa 1 1
Use of Bldg. Res i dence/. L� �.4 C C' �� �r�l No. of Units 1 Bedrooms 7
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
SOUTH
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
REQUIRED
Plumbing Permit M u e l l er
Heating Permit Fobco
HSewage Permit E 1 1 er
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and th.i� are n9 her structures located on this property except
as shown. GENIE HOMES, I NC . BY:', Q('- /�� !.� � �� y1N February 1 1 , 1977
Owner or Agent "� to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMI FORE ONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS `LI'NE
Your street address will be
S, Sewage Permit Number
Remarks
-1 13 t 1.a
Issued
The zone is fi + L143 iZ:i3
Building Permitrl C � g,7 Receipts Issued
Form 523 Bldg. Code
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