1978, 05-03 Permit App: M6124 ResidenceM-284
912 - 11- Story
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 90.00
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 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 P. O. Box 14410 Phone 9284090
Architect Address Spokane, Washington 99214 Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
etc, 41-1,001
Lot 3, Block 3 Peplinski's First Addition
County of Spokane State of Washington
°ar
R c� 6i� Pa 60
D RK: New XXX Addition Remodel
Size of •t 100' X 140'
Stories
Moving
Bldg. Zone Fire Zone 3
Sewage System S . T.
imensions 24x38 + 16x36 + Dbl. Att. Gar. 21x22 Total Sq. Ft
Rooms _5_-_ Baths1 Basement F1111 Foundation Const
Fu I, part, none)
Heat. System E.F.A. Type of Roofing COMP. Ext. Finish
Use of Bldg. Residence - Double Attached Garage
oust. F rame
(Fr.. Cont., g 5 �e9tc.)
1950 Valuation 4 0
Cnnrr,ate Chimney RrICk Fireplace 9
(Kind) (Number
Wood Int. Wall Finish Drywall
No. of Units LBedrooms
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.
NORTH
SEE ATTACHED
SOUTH
I hereby certify information submitted is co rect
as shown.
GENIE HOMES, INC. BY:
Owner or Agent enneth J.
A LAND USE OR STRUCTURE PERMIT MUST B
THIS IS NOT A PERMIT.
Plumbing Permit
Heating Permit
NSewage Permit Rosa
Mueller
A S M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans M59/70-€•;‘44•°1 ;7i,- -,
are no other stiructures located on this property except
May 3, 1978
r •Date
EMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Tour street address will be North 411-> Lillian Road 1
Sewage Permit Number Issued Building Permit .''
Remarks
'dhe zone is Single Family
Receipt /(,‘ Issued
Form 523 Bldg. Code
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Spokane Trusses & Wholesale Lumber, Inc.
10410 EAST JACKSON • SPOKANE, WASHINGTON 99206 • (509) 924-2420
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