1977, 09-27 Permit App: M3510 Residence1161'
M-217
Citify t of Spokane Washikton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 44.00
t
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 UNE
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 )
Lot 15. Block 5 Rotchford Acre Tracts
County of Spokane, State of Washington
DESCRIPTION OF WORK: New XX Addition Remodel
Size of Lot 126' x 180'
Stories
Rooms
Heat. System
Use of Bldg.
Dimensions 24 X 45 + 2X20 + 2x22 +
BathsBasement Fu 11
Fu I, part, none)
E.B.B. Type of Roofing Comp.
Foundation Const
Residence - Double Garage
Moving
Sewage System
g9yble Garage
x 22' Total Sq
Concrete
Ext. Finish
Wood
Bldg. Zone Fire Zone
onst. Frame
(Fr., Conc., Br., etc.)
Valuation 43 , 750
S. T.
Ft 1648
Chimney (Kind) Fireplac 1 ber
Int. Wall Finish Drywa�
No. of Units 1 Bedrooms I
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
RESIDENTIAL COMMERCIAL
SEE ATTACHED
SOUTH
I hereby certify information submitted is correct
as shown.
GENIE HOMES, INC.. BY: \ `• 4 -
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE P
IS IS NOT A PERMIT.
there ar
State License No.
233-01-11125
Ind. Ins. Acct. No.
_ 189=592
REQUIRED
Plumbing Permit Mueller
�n Heating Permit Fobco
NSewage Permit
Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures
1
Date
EMISES BE RE CONSTRUCTION COMMENCES.
located on this property except
---'V.'k\September 27, 1977
DO NOT WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number Issued
Remarks
v
be South 1520 Limerick Dr. 3 S The zone is Agricultural)0Ap,
Receipt OA) / Issued
Building Permit
Form 523 Bldg. Code
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