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1976, 09-22 Permit App: L5588 Residence-p County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE.__ 1 PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any y kind or alter any building or structure already erected, or to change a land use. Construction must conform with the 11 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. J 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 PFPI_TNSKI Address E. 9803 Sprague 99206 Phone 928-1991 Architect Address Phone Engineer Address Phone Contractor Larry Peplinski Address W. 422 Cascade 99208 Phone 328-9514 Legal Description of Property (Give complete description from deed, tax receipt, etc.) Lot 2. Block 2. Wellesley Manor 4th Addition. County of Spokane. State of Washington 36 "r.6 `{14 DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3 Size of Lot 93 X 158 Sewage System S•T• Const. Frame Fr., Conc., Br., etc.) Stories 1 Dimensions 26X40 Single Garage 14X24. Total Sq. Ft. 1340 Valuation 29.500 Rooms 6 Baths_h___ Foundation Const.. Concrete Chimney None Fireplace None Full, part, none__f_tL (Kind) (Number Heat. System EBB Type of Roofing Comp_ Ext. Finish Wood Int. Wall Finish Drywall gse of Bldg. Single Residence with single garage No. of Units L.Bedrooms 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 strigts.: (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. NORTH RESIDENTIAL COMMERCIAL State License No. 223-01-18973 Ind. Ins. Acct. No. 356-237-00 (See attached drawing) REQUIRED Plumbing Permit L&L m Heating Permit A&M vi N Sewage Permit Walker - ..4 Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed rr V.. SOUTH I hereby certify information submitted ' t t re are no o her structures located on this property except as shown. — ® LARRY PFPI,TNSKT IC: � c/ Prssi‘e .L/ September 22, 1976 1 Owner or AgentC Date BE A LAND USE OR STRUCTURE PERMIT MUST ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Your street address will be /SI/5 t-(.f VI 6041. The zone is .r: I Sewage Permit Number Issued Building Permit 0&,511Receipt , Issued Remarks Form 523 Bldg. Code _.. I / 4,5'5' 93' A (c51— i N 6- � N/ - f l2' s `" f,. F L.,:i„,„ (,,4. i/,° ‘,.°s /y 1u z. -t N V 19 > tr4Cr 1 i A A /PX27 25 SQ. FT. /�'i 0 Style /004/-g. LEGAL DISCRIPTION: L..t)r,., Fai..g.2.., (.J[I.LE'3Li S-1 Si — Job # ADDRESS: 'Power Co: ( Water Co: !�G A BUILDER: •T/'/RL-E P,I tE� , /-,. LQ.Q.i? Pt."Pi.iN'` t(t