1977, 03-23 Permit App: M0074 ResidenceCbu'n4y of Spokane. Wasinfigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Sj
GENERAL REQUIREMENTS PERMIT FEE .�_ V
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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 Larry Pepl i nski Address E. 12929 Sprague Ave. Phone 928-1991
Architect Address Spokane, Washington 99216 Phone
Engineer Address Phone
Contractor Larry Pe p l i n s k i Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 23, Block 2 Ridgemont Estates
County of Spokane, State of Washington
� t,Lt• 41— ON 3
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 150' x1 18' Sewage System Sewer Const. Frame l
S/E 12 52 x 26 & 34 x 26 2236 (Fr., Conc., r 000
Stories Dimensions Total Sq Ft Valuation
' Concrete Brick 2
Rooms —Z Baths Basement z Foundation Const Chimney Fireplace
Full, part, none) (Kind) (Number
Heat System F.A.E. Type of Roofing Shake Ext. Finish T-1-11 Int. Wall Finish D rywa l 1
No. of Units 1 Bedrooms 3
Use of Bldg. Res idence / 9l �,e/
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
RESIDENTIAL - COMMERCIAL
SOUTH
State License No.
23301 18973
Ind. Ins. Acct. No,
356-237-000
31//7?
REQUIRED
Plumbing Permit L & L
m Heating Permit A i; M
NSewage Permit Walker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby" inubmitted is correct and there are no other structures located on this property except
as shown.
Ower or
ent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
it 6144..,"1/14.442_11t DO NOT WRITE BELOW THIS LINE
Tiour street address will be AI ,r, ' O cCD (9,9i�✓ The zone ilge
Sewage Permit Number Issued Building Permit ,. 2t- Receipt S• I:/ued
Remarks 111111
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