1978, 04-24 Permit App: M6027 Residence1
M-99 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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 most 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 Peplinski Builder, Inc. Address P.O. Box 14410 Phone 928-6090
Architect Address Spokane, Washington 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
'') 015L41 -c004
Lot 10, Block 1 Peplinski's First Addition
County of Spokane State of Washington
Roadway R/W Width 60'„1 3
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Sewage System S.T. onst. Frame
r., Conc., r., )
Stories �—Dimensions 24' x 38' + Dbl. Att. Gar. 21 ' x 22' Total Sq. Ft 1374 Valuation 4�5,� 0
Full Concrete Brick 2
Rooms L Baths 1 Basement Foundation Const Chimney Fireplace
Fu I, part, nonce— (Kind) (Number
Heat. System E.F.A. Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywal 1
Use of Bldg. Residence - Double Attached Garage No. of Units Bedrooms 2
Size of Lot I r reg u 1 a r
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.
/ft
4
m
NORTH
See Attached
SOUTH
I hereby certify information submitted is correct and then
as shown.
LARRY PEPLINSKI BUILDER, INC. BY:
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON T
THIS IS NOT A PERMIT.
74'
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
SIDENTIAL COMMERCIAL
EQUIRED
Plumbing Permit L & L
PM Heating Permit A & M
NSewage Permit Wal ker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
r structutes located on this property except
April 24, 1978
Date
REMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number Issued
Remarks
.d. Ga .e zone is Single Family
Receipt /i-24. Issued
ilding Permit
Form 523 Bldg. Code
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