1977, 11-15 Permit App: M4164 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3elV
GENERAL REQUIREMENTS PERMIT FEES
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 mast 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 E. 12929 Sprague Ave. Phone 928-1991
Architect Address Spokane, WA. 99216 Phone
Engineer Address Phone
Contractor Francis M. Madden Address E. 12929 Sprague Ave. Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number C> 1 a ZA:.Z i) 7.2S �� +
The North 130 feet of the West 66 feet of Lot 40 Fairacres located in the N.W. of
Section 9, T.25N., R.44E.W.M. Spokane County, Washington. CJ
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DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
66' x 130' S.T. Frame
Size of Lot Sewage System i (Fr., Conc., Br.,3e c. 50
Stories 1 Dimensions 24'x 34' Total Sq. Ft Valuation
Rooms 4 Baths 1 Basement Ful 1 Foundation Const Concrete Chimney ---- Fireplace
(Full, part, none— (Kind) (Number
Heat. System E.B.B. Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish D rywa l l
Use of Bldg. Residence No. of UnitsL 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.
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NORTH
SEE ATTACHED.
State License No.
233-01-X8$7311125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit Mueller
w� Heating Permit Fobco
SA Sewage Permit Rosa
ssi
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correctt4nthere are no other structures located on this property except
as shown.
GENIE HOMES, INC. BY: 1T NO
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMIS BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Date
November 15, 1977
DO NOT WRITE BELOW THIS LINE
41 to 'f The zone is
Receipt 0(1 a/ Issued
Your street address will be
Sewage Permit Nue r
Remarks >
East /U
Is�d)
Fairview Ave.
Building Permit
11
Agricultural
Form 523 Bldg. Code
Spokane Trusses & Wholesale Lumber, Inc.
10410 EAST JACKSON • SPOKANE, WASHINGTON 99206 • (509) 924-2420
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The North 130 feet of the West 66 feet of Lot 40
Fairacres located in the N.W. of Section 9, T.25N.,
R.44E.W.M. Spokane,County, Washington.
(ti,,m 301,1114.1A 2u1 �,
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State of Washington I ss
County of Spokane
Kenneth J. Tupper, being duly sworn on oath deposes and says:
1. That he is the Q(\1./k_ of T.D.C., Inc, a Washington corpora-
tion and is authorized and competent to make the statements herein;
2. That on or about (..\01\ day of October, 1977, T.D.C., Inc. entered
into an earnest money agreement for the purchase of land described
as the North 1 of Lot 40, Fairacres Addition, Spokane County, Wash-
ington;
3. That said property was purchased specifically for the purpose of
segregation into two building sites;
4. That Kenneth J. Tupper or T.D.C., Inc. was unaware on the date of
said agreement of any restrictions or requirements of the County
of Spokane which would prevent the segregation of said property
into two (2) building sites.
Kenneth J. Tuppe
Subscribed and sworn to before me on the 15 day of November, 1972:
Notary Public in and for the State
of Washington, residing iri Spokane
APPVED .AS TO FORM
this I. day of
Prose
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