1978, 05-03 Permit App: M6204 ResidenceM- 281
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 107.50
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. 0. Box 14410 Phone 928-6090
Architect Address rnokane, Washington 99214 Phone
Engineer
Contractor Francis M. Madden Address Cama Phone Sam
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number,
pr ro d1Y-4-1-CICz71-
Lot 12, Block 2 Peplinski's First Addition
County of Spokane State of Washington
-ROADWAY K/W WIUIH 60'
DESCRIPTION OF WORK: New
XX
Q C Addition Remodel
Size of Lgt5' x 1 40'S T Frame
Moving Bldg. Zone 1 Fire Zone
S
3
Sewage System
Fst.
Fonr., Conc. r., etc.)
Stories S/EDimensions 26' x 38' + Dbl. Att. Garage 20 x 22 Total Sq. Ft 2416 Valuation 4Ei, 500
Rooms 5 Baths 1 Basement Full 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 Drywall
Use of Bldg. _ Residence - Double Att. Garage No. of Units 1 Bedrooms 2
PLOT PLAN
Draw sketcn 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 is correct nd th
as shown. GENIE HOMES, INC. BY:��
eill
Owner or Agent J. leu
A LAND USE OR STRUCTURE PERMIT MUST BE O
THIS IS NOT A PERMIT.
-/ n.04,0
Your street address will be North 1-11oGI L i 11 ian Road
Sewage Permit Number Issued Building Permit
Remarks
State License No.
RESIDENTIAL
Plumbing Permit
Heating Permit
Sewage Permit Rosa
Muller
A & M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5-/V/7
re are no other stru ures located on this property except
May 3, 1978
c.j - Tres. Date
E PR MISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
The zone is Single Family
/ 1 Receipt/G. 9 f, Issued
Form" 123 Bldg. Code
A-
Spokane Trusses & Wholesale Lumber, Inc.
10410 EAST JACKSON
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SPOKANE. WASHINGTON 99206 • (509) 924-2420
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