1977, 09-21 Permit App: M3433 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.__ 7
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 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 . Builders, I ngtwdress E. 12929 Sprague Ave. phone 928-1991
Architect Address Spokane, WA. 99216 Phone
Engineer Address Phone
Contractor Larry Pep 1 i n s k i Address Phone �
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
The west 66 feet of the North 150 feet of Lot 3g Fairacres located in NI
Section 9, T. 25 N. R 44 E.W.M.
d �SGi� _a 7r
DESCRIPTION OF WORK: New
Size o
Stories A
Rooms Baths 1 Basement Full Foundation Const
(Ful), part, none)
Heat. System • B • B . Type of Roofing Comp.
XX Addition
Remodel Moving Bldg. Zone Fire Zone 5
Sewage System S.T. ryonst. Frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 846 Valuation 33.950
Dimensions 24 X 34'
1
Use of Bldg. Residence
Concrete
Chimney--
(Kind)
himney(Kind) Fireplace
Number
Ext. Finish Wood Int. Wall Finish Drywal 1
No. of Units l Bedrooms 2
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
I hereby certify
as shown.
SOUTH
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit L & L
▪ Heating Permit A & M
10
• Sewage Permit Walker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information submitted is correct and there are no other structures located on this property except
r or. A ent
Date
A LAND USE OR STRUCTU"EE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/08 j b DO NO WRIT _ • THIS LINE
September 21, 1977
Your street address will be
Sewage Permit Number
Remarks
Issued
G2l4��y_cc The zone is A r i cu 1 to ra 1
Building Permit /fl 3 /3) Receipt 0[7: SfIssued
Form 523 Bldg. Code
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