1979, 04-05 Permit App: N2562 Residencer
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201'
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 78.00
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 mast 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.
t�
APPLICANT FILL IN BELOW
ELO tW.wTHIS LINE cin
Name of Owner LPR� YEPLuNSK1 et3)Lcei� Address ►V t C*. �I44 K) �1 v}�71GIL4phone xe �So
Architect Address Phone
Engineer nN1���� Address same Phone
Contractor UWKER Address SOS le
Legal Description of Property (Give complete descri tion from deed, tax receipt, etc.)
LOT ,tel P,i-ocK �llNmyNALE Razes
County of Spnkane, State of Washingtnn
Phone3t1 rtes
Parcel NumberPaT/D/V OF
0i54 f -,4935
ROADWAY R/W WIDTH3
on
�
DESCRIPTION OFGWORK: New Addition Remodel Moving Bldg. Zone 1 Fire e�-�7
Size of Lot 1 ii, % .9B Sewage System I1 G $onst. rKAAr
Conc., Br., c.l
41214640,00,14)(2:8
2gX24 E 24k X22, F{�. X221{22 6A�ACi�
Rooms % Baths 2- Basement_}.,,_7a Foundation Const CD/JCRETE.
FRE Fu I, part, noneAA v��ry
Heat. System FRE Type of Roofing S4kAW Ext. Finish
Use of Bldg. StA6LS IL'f RCS' DCr10E ez c.. ,
/PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
Stories _g_Dimensions Total Sq Ft
JJOop
r., /�
1164 �8Valuation Ca,
Chimney NOCK Fireplace ?
(Kind) (Number
Int Wall Finish Dl'.'(UJIALI—
No of Units k Bedrooms
.4
NORTH
Ate
See Attached
SOUTH
I hereby certify information submitted is cot�ee�i there
as shown. LARRY PEPLINSKI BLDR: BY: ✓
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MU BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
elvai 1,11*Z DO NOT WRITE BELOW THIS LINE , 2-
Your street address will bet /6 705 antet 5 ,n0,�
Sewage Permit Number The zone is 7 Tattled ' ti�Ai�[ t -Il
Issued Building Permit Receipt n�0�% % Issued
Remarks
(3) location of existing and
(6) location of sewage sys-
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit -nil
w Heating Permit A eeC M
Sewage Permit Co* 1-1 E�
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no otber structures located on this property except
April 5 1979
Date
Form 523 Bldg. Code
-I -
1 ----
--- MERCY; AVENUE .-
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' Lot ',Block 2 unlhyv l e Acres
La,rryrPepl1-h-sk!—B dr
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1248 4 Lewel,
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