1978, 06-22 Permit App: M6913 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE +04.:-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
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 P .0 . Box 14410 Phone 928-�2�0
Architect Address Spokane, WA. 99214 Phone
Engineer Address Phone
Contractor Frank Madden Address P.O_ 'lox 14410 Phone 928-603P
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number h %CC i NC T7Civ
Lot 5 Block 4 Ridgemont No.2
County of Spokane, State of Washington
ROADWAY R/W WIUIH 60'
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone t 3
137x205System
S.T. onst. Frame
Size of Lot Sewage Y
includes garage and deck Fr., Conc., Br., etc.)
Stories
Rooms 61 Dimensions 26x35 8x35 32x30 10x20 Total Sq. Ft 2 0 Valuation 95,000
Baths—2 Basement fu 1 1 Foundation Const Concrete Chimney Fireplace 2
Fu 1, part, none) ��� (Kind) (Number
Heat. System FAE Type of Roofing Ext. Finish Wood Int. Wall Finish Drywal 1
Use of Bldg. Res i dente— 6AI:1 E E 101giefr,c}1.117 .PEr C AT% AC. -f Ey No. of Units .,.Bedrooms 3
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.
}}oust= PKV 0 N PLAT
NORTH
SEE ATTACHED
SOUTH
I hereby certify information submitted is
as shown.
GENIE HOMES, INC. BY:
Owner or Agent
A LAND USE OR STRUCTURE PERMIT M
THIS IS NOT A PERMIT.
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL —,COMMERCIAL
REQUIRED
Plumbing Permit Mueller
m Heating Permit A&M
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
6/0? V7 7 ,et..c
no other structures located on this property except
June 22. 1978
Date
ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
oN NA -P
`fit'
DO NOT WRITE BELOW THIS LINE
Your street address will be Z(O9' LCN}(L/NROkf) The zone is S(N61.,E VAMILY )7 S1PE,NLE.
Sewage Permit Number Issued Building Permit /4_4 C//3 Receipt q3 ZgIssued
Remarks
Form 523 Bldg. Code
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