1978, 05-03 Permit: M6123 ResidenceM -2I9
111 4- Level
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__�__._Si.
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 Phone 928-6090
Architect Address Spokane, Washington 99214 Phone
Engineer Address Phone
Contractor Francis M MaciclPn Address Same Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number } - r c.9/ 4-,/
ROADWAY R/W WIDTH 60'
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 85' x 140'Sewage System S. T.
const. Frame
(Fr., Conc.,r., etc.)
Stories 4 -I -Dimensions 28x22 + 261-x20 + Dbl . Att. Gar. 22x22 Total Sq. Ft 2237 Valuation 45,700
Rooms 5 Baths 2 Basement -- 1 00% Foundation Const Concrete Chimney Brick Fireplace 2
(Full. part, none) (Kind) (Number
Heat. System E.F.A. Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywal 1
Use of Bldg. Residence - Double Attached Garage No. of Units Bedrooms 3
Lot 10. Block 7 Peplinski's First Addition
County of Spokane State of Washington
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
SEE ATTACHED
SOUTH
I hereby certify information submitted
as shown.
is correct and
RESIDENT— COMMERCIAL.
REQUIRED
Plumbing Permit Mut, 1 1 er
rn Heating Permit A & M
HSewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7711//7f,_;(_ ,
there are no other structures located on this property except
c/!
GENIE HOMES, INC. BY: },�,�,11,,A`^ �� i �"7 /� May 3, 1978
Owner or Agent iK�nh�`tT� J. Tup'� r S -;' Tr aE
A LAND USE OR STRUCTURE PERMIT MUST BE ON THEISES B FORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(-, "Y fiLi g
Your street address will be North /-to) / L i 1 1 i a n Rd.
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW' THIS LINE
The zone is Single Family
Building Permitf /f Receipt /4-A, Issued
7 61,23
Form 523 Bldg. Code
6,4,t27
v
1
Spokane Trusses & Wholesale Lumber, Inc.
10410 EAST JACKSON
• SPOKANE, WASHINGTON 99206 • (509)924-2420
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