1978, 04-25 Permit App: M6165 ResidenceM-271
RXRXRXX 4 -Level
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE WC* Sl)
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 mater 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 Stpte
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 (;en i e Hames , Inc. Address P 0 Boy 14410Phone 928-6090
Architect Address Spokane, Washington 99214phone
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��y
tt i2. oiS41-'ioo4
Lot 2. Block 2
Peplinski's First Addition
County of Spokane State of Washington
Ro":"edaR/W Width 60'
DESyiRIPTIy N OF WORK:'New XX Addition Remodel
Size of Lot 110' x 140'
ons 22x28'+ 20x264 + Db. Att.
2 BasementFu 1 1 Foundation Const
Fu I, part, none—)
Heat. System E.F.A.. .- Type of Roofing COmD.
Use of Bldg. Res idence=--Double'Attached Garage
Stories4=LLDimensi
Rooms 5 Baths
Moving
Sewage System
Total Sq.
Garage 22x22
rnnrrete
Bldg. Zone Fire Zone
5.T. Coast, Frame
(Fr., Conc., Br., etc.)
Ft. 2237 Hr irk Fireplace Valuation 45,70x)
Chimney
(Kind) (Number
Int Wall Finish Drywal 1
Ext Finish Wood
No of Units Bedrooms 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,acd 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 correct _end there ar
as shown.
GENIE HOMES, INC. BY:i e�,,,�
Owner or Agent Kenne h J. Tupper'Sec
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE P
THIS IS NOT A PERMIT.
( _
NAIL DO NOT WRITE BELOW THIS LINE ,/
State License No.
233-01-1125
Ind. Ins. Acct. No.
'189-592
NTIAL COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit A & M
toSewage Permit Rosa
Mueller
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
6/y%7fl o -le
•
no other structures located on this property except
April 25, 1978
Tre\�ate
SES BEFO4' E CONSTRUCTION COMMENCES.
Tour street address will be North 4 -lie Larch Road
Sewage Permit Number Issued . Building Permit l� I Receipt /(04; Issued
Remarks /
The zone is Single Family
- Form:523 Bldg. Code
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