1977, 09-27 Permit App: M3618 ResidenceP- 73
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 40.00
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. 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 Pepl inski Builders, Inc,Address E. 12929 Sprague Ave. Phone 828-19.91
Architect Address Spokane, WA. 99216 Phone
Engineer Address Phone
Contractor Larry Address Phone
a1S"5'3 D?6 /
III
Pepl inski
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 1, Block 7 Rotchford Acre Tracts
County of Spokane State of Washington
DESCRIPTION OF WORK: New XX
Size of Lot 150' X 280'
Addition
Remodel
Moving Bldg. Zone
Sewage SystemS • T • rYonst. Frame
(Fr., Conc.,4B�., to 1
50
Total Sq. Ft 1484 Valuation
1
Fire Zone
Stories 13S65nensions 40 ' x 25' + Garage 22' x 22'
Rooms Baths Fu IB part none Foundation Const Concrete
Heat. System
Use of Bldg.
E.B.B. Type of Roofing Comp Ext. Finish
Residence - Double Attached Garage
Wood
Chimney --- Fireplace -
(Kind) (Number
Int. Wall Finish Drywal 1
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.
NORTH
alirate,c,
SOUTH
I hereby certify information submitted is correct and there
as shown.
LARRY PEPLINSKI BUILDERS, INC., BY:
ar
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
DENTIAL'- COMMERCIAL
REQUIRED
L & L
Plumbing Permit
n+ Heating Permit A & M
N Sewage Permit
WALKER
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other strtures located on this property except
Sept. 27, 1977
Owner or Agent (J Date
USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
The zone is
yo
2 ur street address will be S . 1519 Limerick D r .
Sewage Per t Number Issued Building
Remarks (�%�(iI i(V)J �/� r�/ S hG ) /Leio)
Acaricultura 1
Permit Receipt Issued
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