1978, 04-24 Permit App: M6000 Residence7
1-1
M-268
J 1042 Rancher (..1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 14.00
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 -RACK 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 928-6090
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. etc.)
Parcel Number
rTO Dic41- clop -4
Lot 5, Block 1 Peplinski's First Addition
County of Spokane State of Washington
Roadway RN Width 60'
DESCRIPTION OF WORK: New XX Addition Remodel
Size of Lot 90' x 140'
Stories 1 Dimensions 26' x 40' + Dbl. Att. Gar.
Moving Bldg. Zone —I— Fire Zone 3
Rooms Baths 2 Basement Fu 1 1 Foundation Const
Fu I, part, nonenn )
E F. A.- Type of Roofing Comp Ext Finish
Residence - Dbl. Attached Garage
Heat. System
Use of Bldg.
Sewage System S.T. oust, Frame•
(Fr.. Conc.. Br., etc.)
Total Sq Ft 1524 Valuation 44,500
22'x22'
Concrete
Wood
Chimney(( BBri)ck Fireplace 2
(Number
Int wan Finish Drvwal l
No of UnitsL.Bedrooms 3
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
m
N
N
NORTH
SEE ATTACHED
' SOUTH
I hereby certify information submitted is
ashow
GENIE HOMES, INC. BY:
Owner or Agent
(3) location of existing and
(6) location of sewage sys-
State License No.
233-01-11125
Ind Ins. Acct. No.
189-592
Plumbing Permit
m Heating Permit
N Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
COMMERCIAL
UIRED
Mueller
Fobco
ect a here are no other structures located on this property except
nneth
Tu
A LAND USE OR STRUCTURE PERMIT MUST BE 0
THIS IS NOT A PERMIT.
(9 -AU -744a4.0
Your street address will be
Sewage Permit Number
Remarks
ec. ;IV"es.\ Date I9Iy
TF% PREMISES BEFORE CONSTRUCTION COMMENCES. 4
9w11-7\r-T/J\ April 24, 1078
00 NOT WRITE BELOW THIS LINE J
6°The zone is Single Family
Receipt /d.-7 Issued
North .tiblS-
Issued
Larch Road
Building Permit
Form 523 Bldg. Code
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