1978, 04-24 Permit App: M6028 ResidenceP-101
C
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 1 0.4AQP.
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 47235.
-.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 I arry Peril inski Riii lriar, Inr Address P•-0 Bcy 1hh19 Phone
Architect Address Spokane, Washington 99214 Phone
Engineer Address Phone
Contractor Larry Peplinski Address Same phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PT/- 0 /a/ -4;1.0.0 I/
928-6090
Lot 5, Block 2 Peplinski's First Addition
County of Spokane State of Washington
Roadway R/W Width 60' xx
DESCRIPTION OF WORK: New Addition - Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage System Const
Size of Lot 85 x 140 •T. IF Frame /
r., Conc.
S/E 28x36 + 7x14 + Dbl. Att. Gar. 22x24 Total Sq Et 2373 valuation #�
Stories _Dimensions
Rooms 6 Baths Basement 775 n Foundation Const Concrete Chimney Brick
Fireplace( 2
Fu 1, part, none (Kind( Number
Heat. System E.r.i;t. Type of Roofing Comp. Ext Finish Wood Int Wall Finish Drywall
Use of Bldg. Res idence - Dbl. Att. Garage No of Units Bedrooms 2 '
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.
N
H
NORTH
SEE ATTACHED
'SOUTH
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit L & L
rw Heating Permit A & M
-I
Sewage Permit Wal ke r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tl
C
Woly9ifsti; 7
I hereby certify information submitted is correct an t are er st,uct es located on this property except o
as shown.
LARRY PEPLINSKI BUILDER, INC. BY; e -2./2,,y tete-April 24, 1978
4.7
Owner or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST E ON TH REMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
Tour street address will be North 464, Larch Road The zone is Single Family
Sewage Permit Number Issued Building Permit Receipt 457-7.4. Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
1
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