1978, 05-03 Permit App: M6177 Residencee M-275
411110 411110
912 - 11 Story
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 30.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of say
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 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 P. 0 . Box 14410
Architect Address Spokane, Washington
Engineer Address
Contractor Francis M. Madden Address Same
99214
Phone 928-6090
Phone
Phone
Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Peplinski's First Arlriitirn
State of Washington
Lot 12, Block 1
County of Spokane
ROADWAY R/W WIDTH 60'
DESCRIPTION OF WORK: New
Size of Lot 90 x 140
Stories Dimensions
Rooms 5 Baths_1 Basement Ful 1 Foundation Const Concrete
Ful, part, none)
Heat. System E.F.A. Type of Roofing Comp. Ext. Finish Wnnrl
Use of Bldg. Residence - Double Attached Garage
XX Addition Remodel Moving Bldg. Zone 1 Fire Zone _.3
Sewage System S. T. Const. Frame ,y
(Fr., Conc., Br., etc.)`aif9'1�
24x38 + 16x36 + Dbl. Att. Gar, 21x22 Total Sq. Ft 1950 Valuation 4 0 J
Chimney Brick Fireplace 2
(Kind) (Number
Int. Wall Finish Drywall
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
iA
NORTH
SEE ATTACHED
SOUTH
I hereby certify information submitted is corr ct
as sbown.GENIE HOMES, INC. BY:
Owner or Agent K n et h J .
A LAND USE OR STRUCTURE PERMIT MUST BE 0
THIS IS NOT A PERMIT.
Tour street address will be
Sewage Permit Number
Remarks
there are no other st
State License No.
233-01-11125
Ind. Ins. Acct. No.
189-592
RESIDENTIAL — COMMERCIAL
REQUIRED
•
Plumbing Permit Mueller
Heating Permit A & M
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
570k
ctures located on this property except
May 3, 1978
DO NOT WRITE
PREM
Tres . Date
ES BEFORE CONSTRUCTION COMMENCES.
LOW THIS LINE
6[17
The zone is Single Family
Receipt/6 Issued
East b3� Longfellow Ave.
Issued
Building Permit
Form 523 Bldg. Code
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