1978, 04-25 Permit App: N6133 ResidenceP-9 7
4 -Level
County of Spokane, Washington •
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an,Y
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
NameofOwnerLarry Peoiinski Builder. Inc. Address P.O. Box 14410 Phone 928-6090
Architect Address Spnkana Washington 99214 Phone
Engineer Address Phone
Address Same Phone
Contractor Larry Peol inski
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Same
Parcel Number
L?TL) OIS'4t-G0D1-
Lot 8, Block 1
Peplinski's First Addition
County of Spokane State of Washington
ROADWAY R/W WIDTH bO'
DESCRIPTION OF WORK: New XX Addition Remodel
Size of Lot Irregular
Moving
Sewage System
Stories 44=L Dimensions 22x28 + 20x26* + Dbl. Att. Garage 22x22 Total Sq
Rooms $ Baths 2' BasementFul 1 Foundation Const Concrete
(Full, part, -none_}
E . F .A. Type of Roofing COmD Ext Finish Wood
Heat. System
Use of Bldg.
Bldg. Zone Fire Zone 3
S.T. Const. Frame
(Fr., Conc., Br., etc.)
Ft 2237 valuation 45.700
Chimney B r I Ckind) Fireplace 2
(K(Number
Int Wall Finish Drywal 1
Residence - Double Attached Garage No of Units -Bedrooms 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
y
• NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location oLsewage sys-
SEE ATTACHED
• SOUTH
I hereby certify information submitted is correct
as shown.
Larr Perlinski Builder, Inc
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
Plumbing Permit
nr Heating Permit A & M
Sewage Permit Wa 1 ke r
N
L & L
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
541 er
no 'other structures located on ,this property except
/'.� I April 25, 1978
Owner or Agent / o Date
A LAND USE OR STRUCTURE PERMIT MUST BE 0 HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
(9-.14..7414110 DO NOT WRITE BELOW THIS LINE
Your street address will be .it 1-st yze,vi )
Sewage Permit Number IsaedS—� ��� ,B�Permit
Remarks
The zone is Single Family
Receipt / 6 ? 7lssued
r 47)3
Form 523 Bldg. Code
1
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