1978, 04-24 Permit App: M6023 Residencet
M-265
County of Spokane, Washington,
BUILDING CODES DEPARTMENT, .1\1; 811 JEFFERSON, SPOKANE, WASHINGTON 99201 )
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / a 7
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 'C
kind or alter any building or structure already erected, or to change a land use:\ Construction must conform with the 'f4
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 '1f
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 1s 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 Spokane, Washington 99214 Phone
Engineer Address Phone
contractor Franci s M. Madden Address Same phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Q / S'V/ — 9a 0 e,
Lot 2, Block 1 Peplinski's First Addition
County of Spokane State of Washington
Roadway R/W Width 60 '
DESCRIPTION OF WORK: New XX Additioemodeoving Bldg. Zone 1 Fire Zone 3
n Rl M
Size of Lot 110' x 140' Sewage System S.T. Const. Frame
., Conc., Br., etc.)
Stories�LDimensions 26'x 38' + Attached Garage ,41,0›,„„?./ IFrTotal Sq Ft 2416 Valuation 46,500
Rooms _y Baths Basement Fu 1 1 Foundation Const Concrete Chimney Brick Fireplace 2
Fu I, part, nonce (Kind) (Number
Heat. System F :P A- Type of Roofing Comp Ext. Finish Wood Int Wall Finish Drywal 1
use of Bldg. Res idence - Attached Garage No of units 1 Bedrooms 2
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.
N
N
NORTH
ee Attached See Attached
State License No.
233-01-11125
Ind. Ina. Acct. No.
189-592
RESIDENTIA — COMMERCIAL
REQUIRED
Plumbing Permit Mueller
nr Heating Permit FOI)c0
IA Sewage Permit Rosa
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
' SOUTH
I hereby certify information submitted is correct a d there a e no other st uctures located on this property except
as shown.
GENIE HOMES, INC. BY: /j�/nApril 24, 1978
Owner or Agent Ke h J. upper ec. - \�\s Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE ISES • RE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(A,, We -7 DO NOT WRITE BELOV )TNIS LINE.
Your street address will be North /�7/7 Larch Road The zone is Single Family
Sewage Permit Number Issued Building Permit II1-60AS Receipt /3�7 Issued
Remarks
Form 523 Bldg. Code
DPP. /1/41 r!46 g
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