1978, 04-24 Permit App: M6009 ResidenceM-269
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE....bivk°O
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 eater 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 dedication.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Genie Homes. Inc. Address P.O. Box 14410 Phone 328-8090
Architect Address Spokane, Washington 99214 Phone
Engineer Address Phone
Contractor Francis M. Madden Address Same Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, ete.l Parcel Number
111N QUSIA - [}nod
Lot 6, Block 1 Peplinski's First Addition
County of Spokane State of Washington
Roadway R/W Width 60'XX 1 3
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot
90' x 140'
Sewage System S.T. Coast Frame
(Fr., (onc.. Br., etc.)
Stories l Dimensions 24' x 38' + Dbl. Att. Garage 21'x22' Total Sq Ft 1374 Valuation 45'950
Rooms ,i—Betha_ Basementptnone) 1 Foundation Const ('nnrre to Chimney BRICK Fireplace 2
iF I (Kind) (Number
Heat. System E.F.A: Type of Roofing COMP. Ext Finish Wood Int Wall Finish Drywall
Use of Bldg. Reg IMIPnre - Onllh1p Attarhed fa rage No of Units2-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
See Attached
" SOUTH
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
COMMERCIAL
RED
Plumbing Permit Mueller
re Heating Permit Fobco
-I
Sewage Permit Rosa
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted 1s correc d there ar no other structures located on this property except
as shown. \ /
GENIE HOMES INC. BY: t- April 24, 197 i
Owner or Agent enneth J. Tupper ec. - e•ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE R ISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Ow, en/CA.fd,3
Your street address will be Nnrth 46f)4
Sewage Permit Number Issued
Remarks � 4
DO NOT WRITE BELOW HIS LINE y
ho�
one •SingFamily
Receipt /ie -5'.2.75 Issued
Larch Road
Building Permit
Form 523 Bldg. Code
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