1978, 09 Permit App: N0811 Residence(
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ....5.0.2)0.
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structu
kind ore- alter any building or structure already erected, or to change a land use. Construction must conform w 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.4T.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -hack 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 Stdte'
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 928-6090
Architect Address Spokane, Wn. 99214 Phone
Engineer Address Phone
ContractorLarry Pepl inski Address P.0. Box 14410 Phone 928-6090
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number Portion of 23543-1801
Lot 4 Block 1 Van Hees Addition
County of Spokane, State of Washington
LJ 50
DESCRIPTION/OF WORK: New XX Addition
Size of Lot 90' x 140'
Stories $E Dimensions 38'x25'
Rooms 5 Baths 1 Basement 60
(Full, part, none)
Heat. System
Use of Bldg.
Remodel Moving Bldg. Zone _t— Fire Zone —3—
/'/- / 1) Sewage System S T. onr.,st. Conc., Frame
/ 7` FBr., etc.)
includes single garage Total Sq. Ft. 950 Valuation 44 500
Foundation const Concrete
Chimney --- Fireplace
(Kind) (Number
Int Wall Finish Drywall
No of Units L Bedrooms 2
FBB Type of Roofing Cnmp Ext Finish Wood
Residence incluS single garage
St/min
PLOT PLAN /.6v
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
SEE ATTACHED
SOUTH
State License No.
Z33-01-18973
. Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit L &L
wr Heating Permit A&M
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted 1s co r and there no of er structures located on this property except
as shown. LARRY PEPLINSKI BLDR. BY: ( .py �or _ Sept. . 1978
jJOwner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ' THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT. •
(gM -741,/r/p fp, DO NOT WRITE BELOW THIS LINE . .
Your street address will be 1 305 Best q The zone is Single fam i 1 y
Sewage Permit Number Issued Building PermitN/)5// Receipt g
Issued
Remarks W3.3 $ 3
CI CSA)
Form 523 Bldg. Code
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