1977, 09-27 Permit App: M3507 ResidenceM-222
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 41C�,
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 mast 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 47235.
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 E. 12929 Sprague Ave. Pi one 928-1991
Architect Address Spokane, WA. 99216 Phone
Engineer Address Phone
Contractor Frank Madden Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 20, Block 5 Rotchford Acre Tracts
County of Spokane State of Washington T,
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
150' x 328' S.T. Frame
Size of Lot Sewage System (Fr., Conc., Br.. etc.)
4-1 24x48 + 4x24 + Garage 484 1732 1 46,000
Stories Dimensions 9 Total Sq. Ft Valuation
Rooms —Baths 2 Basement Full Foundation Const Concrete Chimney Fireplace
Fu 1, part, none) (Kind) (Number
Heat. System E.B.B. Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residence - Double Attached Garage No. of Units .1—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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
,ESIDENTIACOMMERCIAL
REQUIRED
Mueller
Plumbing Permit
w� Heating Permit Fobco
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and th�are no other structures located on this property except
as show
GENIE HOMES INC BYQ fir`
Owner or Agent
,2A1LA D USE OR STRUCTURE PERMIT MUST
THIS IS NOT A PERMIT.
Sept. 27, 1977
BE ON THE PREM EFOR CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THISLINE
Your street address will be South 1414 Limerick Dr. The zone is Agricultural60.,\Q
Sewage Permit Number Issued Building Permit (71-5-0` I Receipt 0/0Z. / Issued
Remarks
Form 523 Bldg. Code
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