1978, 05-03 Permit App: M6164 ResidenceM-285
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 i(:)°.
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.
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 Phone 928-6090
Architect Address Spokane, Washington 99214 Phone
Engineer Address Phone
Contractor Francis M. Madden Address Same Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
015 t -4(7r 4
1', N
ROADWAY RiW Mufti 60'
DESCRIPTION OF WORK: New XX Addition Remodel Moving rill, Zone
Size of Lot 90x 140 Sewage System S '�' Coast. Frame
4/L 22x28 + 20x26 + Dbl. Att. . Ga ra a 22x22 2237 (Fr., cone, Br., gtr)
Stories Dimensionsg Total Sq. Ft Valuation
Lot 4, Block3 Peplinski's Frist Addition
County of Spokane, State of Washington
1 Fire Zoe%
Rooms Baths Basement Foundation Const Concrete
Fu I, part, none
Heat. System
Use of Bldg.
Chimney Brick Fireplace 2
(Kind) (Number
Int. Wall Finish Drywal 1
No. of Units Bedrooms 3
E.F.A. Type of Roofing Comp. Ext. Finish Wood
Residence - Double Attached
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.
sys
o+
NORTH
SEE ATTACHED
I hereby
as shown.
GENIE HOMES, INC. BY: 4/1/V4
Owner or Agent K n th J.
A LAND USE OR STRUCTURE PERMIT MUST BE 0
THIS IS NOT A PERMIT.
SOUTH
certify information submitted is correct and there are no
ec
f1L�
COMMERCIAL
REQUIRED
Plumbing Permit Mu e l l e r
Heating Permit A & M =
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5/4/7g 1 -4 -:KA.
other struct es located
- fres. Date
E PREM SESI BEFORE CONSTRUCTION COMMENCES.
on this property except
May 3, 1978
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number
Remarks
North 4105 Lillian Road
Issued Building Permit
1
v 6The zone is Single Family
Receipt-4(c`Issued
Form 523 Bldg. Code
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Spokane Trusses & Wholesale Lumber, Inc.
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10410 EAST JACKSON • SPOKANE, WASHINGTON 99206 • (509) 924-2420
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