1978, 04-24 Permit App: M6037 ResidenceM-272
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE iF4SD
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 coveter 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 928-6090
Architect Address.pokane. 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
PTO Otc41- 4o04 -
Lot 3, Block 2 Peplinski's First Addition
County of Spokane State of Washington
Roadway R/W'Width 60'
DESCRIPTION OF WORK: New XX Addition
Size of Lot 100' x 140'
Stories 1 Dimensions 24' x 38' + Dbl. ATt.
Remodel
Moving Bldg. Zone 1 Fire Zone 3
Sewage System S.T.
Garage 21' x 22'
Const . Frame
1374 (Fr., Conc., Br., etc.)
Total Sq Ft Valuation 45.950
Rooms _S.Baths JBasement Ful 1 Foundation Const Concrete
Full, part, none)
Heat. System F FF A Type of Roofing COnlp. Ext Finish Wood
Use of Bldg. Residence - Double Attached Tarage
Chimney Br i rkFireplace 2
(Kind) (Number
Int Wall Finish Drywall
No of Units—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 correc and there are
as shown.
GENIE HOMES, INC. BY:
Owner or Agent 1K nn eth J.
A LAND USE OR STRUCTURE PERMIT MUST BE ON T
THIS IS NOTA PERMIT.
�Ad, ?24440 60
w
-I
N
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
COMMERCIAL
REQUIRED
Mueller
Plumbing Permit
Heating Permit
Sewage Permit
Fobco
Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1
no other structures orated on this property except
nA 1I
o'�^i/ April 24, 1978
Date
E EMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELO THIS LINE
Your street address will be North 4101a Larch Road.
Sewage Permit Number Issued Building Permi
Remarks
.boy
The zone is Single Family
Receipt /52-7 Issued
Form 523 Bldg. Code
1
I I
1 I i
, 1 1-- •
----I— -1-
,
1
r-
-
D •
/Do 1I
AttriSin tir t f
LS 42.<5 itit ."-._‘e..,.•,+eer.d- /9-441114
L
/12
-1--
CI
1 ,
-.4._ _____I _L 1
, ; . • 1
I I
i
] I
- ---4— !-- ' ' -_H [ 1 -1 . 4_ _.4.___ I
-1,-- -,- ! ,
, _' 1._
— I
1-- • __,___. i i 1 i '
17,- • '
--edzki, I Paira-IZAsit.t.., 4f-
S -.: I .1-'-5. IIcI)- il: y' E.' .
1H
1'
LAWN e A
2:2