1978, 04-25 Permit App: M6024 ResidenceM-266 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /111:0
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of=aqy V4
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 vork on water connections disturbs t
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 0 Rnx 1441n Phone 97R4090
Architect Address 5pnkane Washington 99714 Phone
Engineer Address - Phone
Contractor Franr i s M Maren Address Same
lrlPhone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
pita Olsgl- 4004
Lot 3, Block 1 Peplinski's First Addition
Countyof Spokane State of Washington
Roadway R/W Widh 60
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 110' x 140'
Sewage System S.T. Ponst. Frame
W.. Conc., Br., etc.)
Stories 2 Dimensions 21x25 + 19x11 + 21x27 + Dbl . Gar. 20x22 Total Sq. Ft. 1741
Valuation 48.900
Rooms jlBaths_ ( Basementr ® Foundation Const (.nor rete Chimney Brick Fireplace( 2
IFull. part, no(Kind) Number
Heat. System E.F.A. Type of Roofing COM) Ext Finish Wood Int Wall Finish Drywall
Use of Bldg. Residence - Double Attached Ga rage No of Units :I -Bedrooms �•
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 corre
as shown.
GENIE HOMES, INC. BY
Owner or Agent
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
DENTIAL —,( OMMERCIAL
REQUIRED
Plumbing Permit Mueller
w Heating Permit A & M
Ya
• Sewage Permit Rosa
- 4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and thare no other rstruct es located on this property except L
It April 25, 1197/8
reDate
t.
T V EMISES BEFORE CONSTRUCTION COMMENCES.
et
A LAND USE OR STRUCTURE PERMIT MUST BE ON
THIS IS NOT A PERMIT.
(9AA—) -741:ap0
Your street address will be North 24-10-1 Larch Road AY The zone is • Single Family
ff
Sewage Permit Number Issued Building Permit k O2 -y Receipt i".1".-1--7 Issued
Remarks
DO NOT WRITE BEL W THIS LINE
Form 523 Bldg. Code
4.40
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