1978, 05-03 Permit App: M6202 ResidenceM-278
411 IA,
1283 -Rancher
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 6Ag.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_ (l _ Rnx 14410 Phone 97R- An90
Architect Address Spnkane , Wash i ngtor 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
^eA-.ofocAi,004
Lot 15, Block 1 Peplinski's First Addition
County of Spokane State of Washington
HUADWAY K/W WID1H60'
DESCRIPTION OF WORK: New XX
Addition
Size of Lot Irregular
Stories .1__D imensions
Rooms 6 Bathes 2
F
Heat. System E E. F .A . Type of Roofing
Use of Bldg.
Remodel Moving Bldg. Zone —1 Fire Zone —
Sewage System S T onst. Frame
(Fr., Conc., Br., etc.)
42 x28 + 6x9 8x5 + Db l . At t . Gar. 22X* tal Sq. Ft 1 789valuation48 , 750
Basement Full Foundation Const Concrete Chimney Brick Fireplace 2
hili, part
, none (Kind) (Number
Shake Ext. FinishWood Int. Wall Finish Drywal 1
Residence - Attached Garage
No. of Units LBedrooms
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.
N
NORTH
SEE ATTACHED
SOUTH
a+
Ito
I hereby certify information submitted is correct and there are no other
G I?tgovoMES, INC. BY:
Owner or Agent
enne
A LAND USE OR STRUCTURE PERMIT MUST
THIS IS NOT A PERMIT.
Tour street address will be
North
DO N
T
Li516
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit A f. M
Sewage Permit Rosa
Hue] ler
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5/9/7I
3
stictures located on this property except
r ec. - 1 Fes. Date
THE 1PREMISES BEFORE CONSTRUCTION COMMENCES.,
May 3, 1978
TE BELOW THIS LINE
2
The zone is Single Family
Receipt / , �, Issued
Lillian Rd.
Sewage Permit Number Issued Building Permi
Remarks
Form 323 Bldg. Code
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