1979, 04-25 Permit App: N2824 ResidenceCouno of Spokane, Washinoon
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#6166 BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
Renewal APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ----------- 39.00
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 building (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 i n s k i Bl dr. I nC._ Address P.O. Box 14410 _ Phone._ 928-6090
Architect . Address Spokane, Wn . 99214 Phone
Engineer_ Address __ Phone
Contractor Same Address, Same Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number- 01541-9004
Lot 9 Block 2 Peplinskis
First Addition
County of Spokane State
of Washington
DESCRIPTION OF WORK: New X_ Addition. _ Remodel
Moving
Bldg. Zone .__�_
Fire Zone__.__
Size of Lot _ 89x1 38
Sewage System ST
const. jrame
(Fr., Conc., Br., e
Stories I Dimensions 26x40 2x20 2x22 Dbl . att. garage 22x22
Total Sq. Ft. 1608
Valuatio _
Rooms_? Baths 2 Basement f U I I Foundation Const.
concrete
Chimney brick
Fireplace— S
(Full, part, none)
(Kind)
(Number
Heat. System FFA Type of Roofing romp _ Ext.
Finish wand
Int. Wall Finish d cywa 1 1
Use of Bldg. Residence dbl . atta-ched aaracle
J("��. �� psik�
No. of units
1 Bedrooms
ROADWAY R/W WIDTH 601
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.
m
N
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NORTH
SEE ATTACHED
SOUTH
State License No.
23301 18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit L&L
M Heating Permit A&t;I
NSewage Permit Walker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up%
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
_ LARRY PEPLINSKI BLDR. INC. BY: April 1979
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE ,
Your street address will be
Sewage Permit Number
Remarks
Form 523 Rld,, r—A.
E. 16415 Longfellow
Issued
Building Permit
y,
�
e one is Single family
Receipt Q Issued
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��A.. Spokane Trusses & Wholesale Lumber, Inc.
10410 EAST JACKSON • SPOKANE, WASHINGTON 99206 • 15091924-2420
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