1977, 09-27 Permit App: M3511 ResidenceM-219 County
of
Spokane,
Washington
BUILDING CODES DEPARTMENT,
N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._40.00
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
6po -� County Building Code and Zoning Ordinance. Construction is subject to inspection.
c. Nater supply must be approved by the County and State Health Departments. where work on water connections disturbs
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 OP 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. Phone 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
3 -
Countv of Spokane State of Washington -I` "-I
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bid% Zone 1 Fire rhe 3
Size of Lot 120' x 300' Sewage System T. onst. %X Frame
fFr., Conc., Br., etc.)
Stories _ ISiS6nensions 40' x 2S' + 1Ga rage 22' x 22' Total Sq. Ft. 1 •484 Valuation 41 ,950
Rooms _4Batfis 1 Basement FulPoundation Const.. Conc. Chimney Fireplace
-----
-7-5 11, part, none—j (Kind) Number
Heat. Syste� . B • B • Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywi I I
Use of BldgRes i dence - Doub1 a 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.
NORTH
I hereby certify information submitted `is correct and
as shown. `
State License No.
233-01-11125
Ind. Ina. Acct. No.
2
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit M u e l l e r
M Heating Permit Fohro
N Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are np other structures located on this property except
Owner or Agent . I W - - - ;RE
` -N .A ND USE OR STRUCTURE PERMIT MUST BE ON THE 1 BEFOI
TH IS OT A PERMIT.
OUK �J'i DO NOT WRITE BELOW THIS LINE
U'`
,ter ;Tlur street address will be South 1S12 Limerick Dr. A
Sewage Permit Number Issued Building Permit IV I
Remarks
Form 523 Bldg. Code
Sept. 27. 1
CONSTRUCTION COMMENCES.
The zone is Agricultural
Receipt 0/z Issued