1978, 06-22 Permit App: Residence, Renewal of M0803County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 86.00
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' 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 Peolinski Bldr. AddressP 0 Box 14410 Phone 928-6(00
Architect - Address Spokane, Washington 99714 Phone
Engineer Address Phone
Contractor I arry Pepl inski AddressP n Rnx 1441n Phone 928-6090
44945U3-- OGGS
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
LOt S Block 6 Rotchford Acres
County of Spokane, State of Washington
RD SDCi N APT O 1 OFW k
OR ONew XX Addition
Remodel Moving
Size of Lot 200'x198' Sewage System
includes dbl garage
Stories 1 Dimensions 26x35 23x31 9x12 21x6 and dark Total Sq
Rooms 5 Baths 2 Basement full Foundation Const rnnCrete
(Full, part, none)
FAE Type of Roofing COmo. Ext Finish Wood
Res idence-6AT tc X-rr/+cWEb-4T A-cHEO bala;f<„
Heat. System
Use of Bldg.
Bldg. Zone Fire Zone 3
ST (Fr., onst.Conc.Frame
. Br., etc.)
Ft 1857 Valuation 62.500
Chimney (K ^ai k Fireplace 2
(Number
Int Wall Finish Drvwal 1
No of Units 1 Bedrooms 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
REPLACES :PE:.Mi r M agb3
SEE ATTACHED
Nanr-fur o?U M4P SOUTH
I hereby certify information submitted is cont
as shown.
LARRY PEPLINSKI BLDRS. BY:
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUS BE ON THE
THIS 1S NOT A PERMIT.
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTtIYL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit A&M
L&L
Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
0/01.3/7f ralt.
e no other structures located on this property except
June 22- 1978
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Tour street address will be 12. [5 lA LUJAY
Sewage Permit Number Issued Building Permit Ply
Remarks
The zone is M A;IUAL rUR,M --SL4I3 URa)
u
Receipt '7 3 Issued
Form 523 Bldg. Code
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