1979, 04-01 Permit App: N3063 ResidenceConn. f Spokane. Washin
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#6169 BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
Renewal APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 41.00
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 performea 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 building (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 Ee olinsk i B Ld r Inc Address P.O. Box 14410 Phone 928-6090
Architect . Address_apokane, Wn 99914 Phone
Engineer_ Address Phone
Contractor Same Address SamP Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 015411541-9()O4
Lot 1 Block 3 PPplinskis First Addition
County of Spokane State of Washington
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone _l_ Fire Zone 3
Sewage System ST Const. __Frame
(Fr., Conc., Br., etc.)
Stories__ _ Dimensions . 42)(28_x9 8x5 Att., garage 22x23 Total Sq. Ft. 1789 Valuation ,
Rooms 6 Baths__2_ Basement ful 1 Foundation Const ronrrete Chimney brick Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System FAF Type of Roofing Comp_ Ext. Finish Wood Int. Wall Finish Drywa1 1
Use of Bldg. Residence double attached garage / h i .,,,_z Lar{; ) No. of Units 1 Bedrooms
ROADWAY R/W WIDTH 60
Size of Lot 120X1.40
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
SOU TH
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit L&L
m Heating Permit A&M
X.
Sewage Permit Walker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed y
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. LARRY PEPLI NSKI BLDR. INC BY: Apri 1 1979
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE )',.,
N. 4722 Lillian Rd.
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Permit
e zone is Single family
/
Receipt D3 3 `Issued
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Spokane Trusses & Wholesale Lumber, Inc.
• SPOKANE, WASHINGTON 99206 • (509) 924-2420 �
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10410 EAST JACKSON
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