1978, 05-03 Permit App: M6167 ResidenceP103
4111
1300 - 2 Story
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 82.00
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 UNE
Name of Owner Larry Pepl i nski Builder, Inc Address P. 0. Box 14410 Phone 928-6090
Architect Address Spokane, Washington 99214 Phone
Engineer
Contractor
Address
Larry Pepl inski
Legal Description
Address Same
of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Phone
Phone Same
Lot 17, Block 1 Peplinski's First Addition
County of Spokane State of Washington
ROADWAY R/W WIDTH 60'
DESCRIPTION OF WORK: New XX Addition Remodel
Size of Lot 89' x 120'
Moving Bldg. Zone
Stories 2 Dimensions 21x25 + 19x11
Rooms _I Baths_2 Basement 50%
(Full, part, none)
Heat. System
Use of Bldg.
Fire Zone 3
Sewage System S . T .onst. Frame
(Fr., Conc., Br. etc 1
+ 21x27 + Dbl. Gar. 20x22 Total Sq. Ft 1741 Valuation +8,960
Foundation Const
Concrete
Chimney Br i d
Fireplace;Number
Int. Wall Finish Drywall
No. of Units.' Bedrooms 3
E.F.A. Type of Roofing Comp Ext. Finish Wood
Residence - Double Attached Garage
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 correct
as shown. LARRY PEPL I NSKI BUILDER, INC.
there are
State License No.
233-01-18973
Ind. Ins. Acct. No.
35+-237-000
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit A & M
NSewage Permit
-I
L & L
Walker
o other s
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans M ed
.,,/y/7 a'.•�►-�C�'
uctures located on this property except
May 3, 1978
Owner or Agent / ( ' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON TME PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
CYA = O 0-0 DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number
Remarks
North
Issued
Lillian Road
Building Permit,
e zone is Single Family
Receipt /7 Issued
Form 523 Bldg. Code
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