1978, 06-28 Permit App: M6928 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 62.00
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. —t
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 phone 928-6090
Architect Address Spokane, WA. 99216 Phone
Engineer Address Phone
Contractor Frank Madden Address E. 12929 Sprague Phone 928-6090
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number. .2454:1 / - 4 ' 9 1 pc.eriow
Lot 2 of Short Plat No. 78-006 n h
County of Spokane, State of Washington
ROADWAY R/W WIDTH . O�
DESCRIPTION OF WORK: New XX Addition
Size of Lot 741)(149'
Remode 1
Moving Bldg. Zone 1 Fire Zone 3
Stories _Dimensions 52x24 (includes single garage)
Rooms
Baths Fu 1B part en t f full Foundation Const.
Sewage System S • T .onst. Frame
�Fr., Conc., Br. etc.)
Total Sq. Ft 1.248 Valuation 36, 500
Concrete
Heat. System EBB Type of Roofing Comp. Ext. Finish
Use of Bldg. Residence ll c� _A 91Q.
PLOT PLAN
Chimney - Fireplace
(Kind) (Number
Wood Int. Wall Finish Drywall
No. of Units Bedrooms
2
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
SEE ATTACHED
SOUTH
I hereby certify information submit
as shown.
GENIE HOMES INC. BY:
Owner or Agent
there are no
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit M u e l l e r
rn Heating Permit A&M
NSewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
4/077
ructures located on this property except
June 1978
Date
A LAND USE OR STRUCTURE PE"T UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NO WRITE BELOW THIS LINE
Your street address will be / ��� � The zone �1.
Sewage Permit Number Building Permit H-L/Q3 Receipt l- 'Issued
Remarks
Issued
Form 523 Bldg. Code
1
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544 14'/i,,.
14
CoNsoc /agree