1978, 05-03 Permit App: M6170 ResidenceP-108 • • 1018 S/E - Main • •
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 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 Peplinski Builder, InCAddress P. 0. Box 14410Phone 928-6090
Architect Address Spokane. Washington 99214 Phone
Engineer Address Phone
Contractor Larry Pepl inski Address Same Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Int 7, Rlnrk 3 Ppplinski's First Addition will) t)iS741.°t(24—
County of Spokane State of Washington
104.00
ROADWAY R/W wilt 60'
DESCRIPTION OFIVORK: New XX Addition
Size of Lot 1101 X 140'
Remodel
Moving Bldg. Zone 1 Fire Zone 3
Sewage System S _ T _ Const. ame
Fr., Conc.Fr, Br., etc.)
Total Sq. Ft 2373 valuation 48 .2
Chimney Brick Fireplace 2
(Kind) (Number
Wood Int. Wall Finish Drywall
No. of Units Bedrooms 2
Stories S/dimensions 28x36 + 7x14 + Dbl. Att. Gar. 22x24
Rooms 6 Baths 1 Basement 75% Foundation Cone. Concrete
Ful. part, none)
Heat. System E.F.A. Type of Roofing Comp.
Use of Bldg. Residence - it—attached Garage
Ext. Finish
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
1
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SEE ATTACHED
SOUTH
I hereby certify information submitted is correct an
as shown.
LARRY PEPLINSKI BUILDER, INC.
Owner or Agent ��
A LAND USE OR STRUCTURE PERMIT MUSTtt8E ON TH
THIS IS NOT A PERMIT.
m
N
-1
Plumbing Permit
Heating Permit
Sewage Permit
G
A E 11
Walker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5/497 s
e are r structures located on this property except
Date
EMISES BEFORE CONSTRUCTION COMMENCES.
May 3, 197
44 11 DO NOT WRITE BELOW THIS LINE
Your street address will be North ai i n L i 1 1 ian Road ,
Sewage Permit Number Issued Building Permit ReceiptIssued
Remarks
v
e zone is Single Family
Form 523 Bldg. Code
Spokane Trusses & Wholesale Lum er, nc.
nott
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