1977, 09-27 Permit App: M3509 ResidenceM-218
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ----- 4ZAD
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 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 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 F 19929 pragiie AyA _ Phone
Architect Address Spokane WA 49216 Phone
Engineer Address Phone
Contractor Frank"Madden " Address " " Phone "
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 16, Block 5 Rotchford Acre Tracts
County of Spokane - State of Washington
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone I Fire Zone 3
Size of Lot 127 x 300 Sewage System S •T• Const. Frame
Double Garage '(526' Fr., Conc., Br., etc.)
Stories 1 Dimensions 40 x 24 + 2x20 + 2x22 + 22' x 22' Valuation
Rooms
42, 500
Rooms BathsBasement Foundation Const.. -oncr Chimney ---- Fireplace -
—ITFu I, part, none (Kind) (Number
Heat. System E • B • B • Type of Roofing COmp. Ext. Finish Wood Int. Wall Finish Dr)ma 11
Use of Bldg. Res i dence - DoubI a 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.
r,
NORTH
SOUTH
I hereby certify information submitted is
as shown. GENIE HOMES, INC. BY:
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit M u e l l e r
M Heating Permit Fobco
30 Rosa
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except �
Sept. 27, 1977
Owner or Agent
A ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMI
'�/ IS NOTA PERMIT.
/" DO NOT WRITE BELOW TH
EFORE CONSTRUCTION COMMENCES.
3
Tewage
11our street address will be South 1 16 Limerick Dr. ON 4 Permit Number Issued Building Permit
Remarks
Form 523 Bldg. Code
Wezone is A ricultural
Receipt Issued
M