1978, 04-24 Permit App: M6011 ResidenceP-100
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
a o REQUIREMENTS PERMIT FEE els 191'itO
GENERAL
9 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 mast 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 -RACK 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
NameofOwi,SrrY Pepl inski Builder, Inc.
Architect
Engineer
Contractor
Larry Pepl inski
Address
Address
Address
Address Same
P.O. Box 14410
Spokane, Washington
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Phone
Phone
Phone
Phone _Same
928-6090
Parcel Number,
Olsa t— kmD'f
Lot 4, Block 2 Peplinski's First Addition
County of Spokane State of Washington
Roadway R/W Width 60x
DESCRIPTION OF WORK: New Addition
Size of Lot 85' x -140'
Remodel
Moving Bldg. Zone
Fire Zone 3
Sewage System 5. Tonst. Frame
(Fr.. Conc.{{�Br., etc.)
2447 Valuation `+6,950
Chimney Brick Fireplace 2
(Kind) (Number
Int Wall Finish Drywall
No of Units Bedrooms 2
•
Stories S/E Dimensions 24' x 42' + Dbl. Att. Garage 19.6x22 Total Sq Ft
Rooms __5_Batha 2 Basement Full Foundation Const Concrete
(Fun, part, none) -
_ Heat. System E. F.A. Type of Roofing Comp.Ext. Finish Wood
Use of Bldg. Residence - Dbl. Attached Garage
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.
f,)
E
N
H
NORTH
See Attached
'SOUTH
State License No.
233-01-18973
Ind. Ins. Acct. No.
356r237-000
( RESIDENTIA OMMERCIAL
\ AtE9UIRED
Plumbing Permit
Heating Permit A & M
Sewage Permit Walker
L & L
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct a th ar o at er structures
las shown. - �`
IARRY PFPI INSKI BUILDER. INC. DY;
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS 15 NOTA PERMIT.
Date
EMISES' BEFORE CONSTRUCTION COMMENCES.
located on this property except
April 24, 1978
DO NOT WRITE BELOW THIS LINE
bdi/
The zone is Single Family
Receipt Ante - Issued
Remarks
Your street address will be
Sewage Permit Number
Nnrth
Issued
Larch Road
Building Permit
Form 523 Bldg. Code .
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