1978, 09 Permit App: N0812 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE, OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 62...0.0
POIMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind ort 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 oneater 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 Peplinski Bldr. Address P.O. Box 14410 Phone 928-6090
Architect Address Spokane„ Wash 99214 Phone
Engineer Address Phone
Contractor Iarry Peplinski Address P 0 Box 14410 Phone 97R-6090
Legal Description of Property (Give complete description from deed. tax receipt, etc.) Parcel Number Portion of 23543-1801
Lot 1 Block 1 Van Hees Addition
County of Spokane, State of Washington
4�
C) .50'
DESCRIPTION O WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone —.1.—
Size
3Size of Lot 90' x 140'Sewage System 5 T. Cpnst Frame
IFr., Gtonc., Br., etc.)
Stories Dimensions 51'6" x 74 includes single garage Total Sq Ft 1774 Valuation 43,950
Rooms 6 Baths 1 Basement Ful 1 Foundation Const Concrete Chimney -' -- Fireplace
(Pull, part, none (Kind) (Number
Heat. System EBB Type of Roofing Cnmp Ext Finish Wnnd Int Wall Finish Drywal 1
Use of Bldg. Residence
No of Units1Bedrooms - 3
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
-SEE ATTACHED
SOUTH
I hereby certify information submitted is correct
as shown.
ILARRY PEPLINSKI BLDR. BY:
Owner or Agent '1 Date
A LAND USE OR STRUCTURE PERMIT MUST BE 0 E PREMISES BEFORE CONSTRUCTION COMMENCES. 1 L
THIS IS NOT A PERMIT.
6n4 4<4p
Your street address will be -31 1207 Best Road nnG The zone is Single family
Sewage Permit Number Issued Building Permit �rli nJd)-- Receipt 7.243 Issued
Remarks
State License No.
233:01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit Mth&XX61' LCL
re Heating Permit ASM
N Sewage Permit Rosa
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Sept. 1978
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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