1978, 04-24 Permit App: M6026 ResidenceM-267
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 �U
APPLICATION FOR LAND USE OR STRUCTURE PERMIT', /00
GENERAL REQUIREMENTS PERMIT FEE
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.
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 Phg18 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 PTA/- O/.-'9'/- 9'dr0$
Lot 4, Block 1 Peplinski's First Addition
County of Spokane State of Washington
4
DRpady R�1=�w01ildth 60 1 3
ESCRI ION New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone
Size of Lot 90' X 140' Sewage System S.T. onst Frame
Const Conc., Br., etc.)
Stories SLEDimensions 25' X 46' Double Garage Under Total Sq Ft 2300 Valuation 47 900
Rooms �_ Baths 2 Basement 50 o Foundation Const Concrete Chimney Brick Fireplace 2
Full, part, none) (Kind) (Number
Heat. System F S.A-.- Type of Roofing COMP Ext Finish Wood Int Wall Finish Drywall
useotBldg. Residence - Double Garage (Under)
No of Units Bedrdoms 3 •
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
RESIDENTIAL) - COMMERCIAL
REQUIRED
Plumbing Permit Muel ler
�w Heating Permit Fobco
Sewage Permit Rosa
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
hereby certify information submitted is correct atld they ar no other structures 1 d. on this property except
aL shoI w�J; L
GENIE HOMES, INC. BY; �np, April 24, 1978(
Owner or Agent Ken eth J. Tupp r ec. - e�Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE P ISES B RE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Bic -7/LG4cp2 2
DO NOT WRITE BELOW LINE
Your street address will be North 46-21 iRoad The zone is S i ng 1 e Family
Sewage Permit Number Issued Building permit- 6G 6 Receipt /4.--1-7 Issued
Remarks
Larch
Form 523 Bldg. Code
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