1978, 05-03 Permit App: M6168 ResidenceP-102 1126 S/E
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 100.50
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 if
r 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.
1
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Larry Pepl i nski Builder, Inc .Address P. 0 _ Rnx 14410 Phone 92R-A0.90Architect Address Spokane, Washington Phone
Engineer Address Phone
Contractor Larry Pepl lnski Builder, Inc.Address Same Phone Same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 16, Block 1
County of Spokane
Peplinski's First Addition
State of Washington
ROADWAY H/W WIDIH 60'
DESCRIPTION OF WORK: New XX Addition Remodel
Size of Lot 90' x 140'
Stories S/E Dimensions 25' x 46'
Moving Bldg. Zone 1 Fire Zone .3_._._
Sewage System S . T. Const. Frame
(Fr., Conc.,r. etc.
- Double Garage Under Total Sq. Ft 2300 Valuation 97,900
Rooms _2_ Baths 2 Basement 50% Foundation Const
Concrete Chimney Brick Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System E.F.A. Type of Roofing Comp Ext. Finish WoodInt. Wall Finish Drywal 1
Use of Bldg. Residence - Double Garage (Under) No. of Units lBedrooms 3
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 correc
as shown.
LARRY PEPLINSKI BUILDER, INC.
Owner or Agent
m
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit L & L
Heating Permit
Sewage Permit
A & M
Walker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no}therstrucures
l
/1 Date
located on this property except
May 3, 1978
A LAND USE OR STRUCTURE PERMIT MUST BE ON TjF' PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
North
DO NOT WRITE BELOW THIS LINE
Tour street address will be 4 ijo b Li 11 i an Rd.
C�
The zone
Sewage Permit Number Issued Building Permit Receipt /6,g 7 Issued
Remarks 1
is Single
Family
Form 523 Bldg. Code
s' cnc cL&Q rn� r
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j_cyT /G BLOCK' / _