1978, 05-03 Permit App: M6132 Residence912 - 11 Story
P='04 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE --- _C'JJOJ_'�
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.
NATER. Nater 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 he
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 Pep 1 i n s k i Builder, I nC Address P. 0. Box 14410 Phone 928-6090
Architect AddressSpokane, Washington 99214 Phone
Engineer Address Phone
Contractor Larry Pep] inski Address Same Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Ing-)\' Z1{,^ipL1_!�:'k R -I;o;" '}—
KUAWA-Y R/W WID (�0'
DESCRIPTION OF R : New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 93' x 125' Sewage System S • T •me
CFfonc.nsCra etc.)
Stories -1-L- Dimensions 24x38 + 16x36 + Dbl . Att. Gar. 21X22 Total Sq. Ft. 19SO S—/Valuation 45.950
Rooms 5 Baths 1 Basement Ful 1 Foundation Const.. Concrete Chimney Brick Fireplace 2
Tf-Fu I, part, noneT (Kind) (Number
Heat. System E . F.A. Type of Roofing Comp Ext. Finish Wnnd Int. Wall Finish TWA I >
Use of Bldg. Residence - Double Attached Garage No. of Units )..Bedrooms 2
i 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
SEE ATTACHED
SOUTH
I hereby certify information submitted is c
as shown.
LARRY PEPLINSKI BUILDR INC.
Owner or Agent
A LAND USE OR STRUCTURE PERMI MUST
THIS IS NOT A PERMIT.
nq,
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-.237-000
RESIDENTIAL -
Plumbing Permit
M Heating Permit A F M
Sewage Permit Wa l k e r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
17 structures located on this property except
sr MAY 3, 1978
Date
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be - Woob Longfellow Ave. The zone is Single
ing1e Fami1y
Sewage Permit Number Issued Building Permit/74 13 a Receipt Z / Issued
Remarks
Form 523 Bldg. Code
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