1978, 09 Permit App: N0824 ResidenceVI
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE
50.00
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 N. 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 Peplinski Bldr. Address P.O. Box 14410 Phone 92R-6090
Architect Address Spnkane, Wn 99214 Phone
Engineer Address Phone
contractor Larry Peal inski Address P n Rnx 14410 Phone 928-6090
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Port i on of 23543-1801
Lot 2 Block 1 Van Hees Addition
County of Spokane, State of Washington
W .se'
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone _3_
Sewage System ons Conc.,(Fr., Frame
.,�
Stories �pimensions 241 X 381 / C -/- Total Sq Ft I' Valuation $41 ,5nn
Rooms _Baths1 Basement - Ful 1 Foundation Const COnrrete Chimney - Fireplace -
Fu I, part, none) (Kind) (Number
Heat. System EBB Type of Roofing Comp. Ext Finish _. Wood Int Wall Finish Drywal l
Use of Bldg. Res idence No of Units 1 Bedrooms 2
Sizeof.t 901 x 140'
1
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SEE ATTACHED
SOUTH
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit L&L
A&M
Heating Permit
in Sewage Permit Rosa
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is corre t a there a ther structures located on this property except
as show°' LARRY PEPLINSKI BLDR. BY: Sept. 1978
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THY PREMI ES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. -
l3.‘r ,a p 4) DO NOT WRITE BELOW THIS LINE
Tour street address vl 11 be 1215 Best Road The zone is Single family
Sewage Permit Number Issued Building Permit h Receipt e.24..-3 Issued
Remarks
33 ge
Form 523 Bldg. Code
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_,_• iAPPLICANT Larry Pepi'inski IBldr. !
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