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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 '404::44C 4"tii741Z 17374t6244*;:" ! I ; Lle,rt.„ mud- - (...s •1 .• .---- I- !-- t--- ,1 1 !!- , I I , I t '19646— 1 • ; , I ! • +--!---i-- ; • ; !- --t- ' ----. .-. 4-- --1.---_- , 1 , • 1---. 1 • ...L _Li I --f --- -! i 4 ! 1- - / / _- i ! 1 ...2 ! I 1 i .5"! reti 0.1 a , ,