1978, 05-03 Permit App: M6163 ResidenceM-276 110
1018 - S/E/ Main1111
N County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 104.00
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
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. O. Box 14410Phone 928-6090
Architect Address Spokane, Washington 99214 Phone
Engineer Address Phone
Contractor Francis M. Madden Address SLIM Phone SamP
Legal Descrip ion of Property (Give complete description from deed, tax receipt, etc.) Parcel Number D / 5-W
c/o
Lot 13, Block 1 Peplinski's First Addition
County of Spokane State of Washington
ROADWAY R/W WIDTH 60 '
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 93' x 1/40' Sewage System S • T . Const. Frame
(Fr., Conc.,r. e�0))
Stories S/FDimensions 28x36 + 7x14 Dbl . Att. Gar. 22x24 Total Sq. Ft 2373 valuation 4
Rooms Baths 1 Basement 75� Foundation Const Concrete Chimney Br r k Fireplace 2
6
(Number
Heat. System E.F.A. Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Res idence - Double Attached Garage No. of Units! Bedrooms 2
Fu I, part, none)
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SEE ATTACHED
SOUTH
Plumbing Permit
Heating Permit
Sewage Permit Rosa
Mueller
A S M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
.6.-/y/ztr
I hereby certify information submitted is c rrect and there are no ther structures located on this property except
as shown. v' V
GENIE HOMES, INC. BY: \ A) May 3, 1978
Owner or Agent et J. upp S�.c - Tres. Date
A LAND USE OR STRUCTURE PERMIT MUST BE . T E P ' ISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/,"y' -LL ���xD DO NOT WRITE BELOW THIS LINE
Tour street address will be East 1 61 k rd Longfellow Ave. The zone is Single Family
Sewage Permit Number Issued Building Permit% Receipt Issued
Remarks 11
Form 523 Bldg. Code
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