1978, 07-12 Permit App: M7130 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 93.50
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 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 Pepl inski Bldr. Inc. Address P.O. Box 14410 Phone 928-6090
Architect Address Spokane, Wash. 99214 Phone
Engineer Address Phone
Contractor I arry Peel i nsk i Address P f) Rnx 14410 Phone 928-6090
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel NumberP.G' `.c 1, ,2-- -`--.c¢J -9Gei
Lot 10 Block 3 Ridqemont No. 2
County of Spokane, State of Washington
R�a6 "� r��r uliP I 60
E CRI ORK: New XX Addition Remodel Moving Bldg. Zone —I___ Fire Zone 3
Size of Lot 97' x 194' Sewage System Sewer Const. Frame
(Fr., Conc., Br., etc.1$54
Stories 1 Dimensions 28' x 72' Total Sq. Ft. 2,016 Valuatioir-
Rooms 7 Baths 22 Basement full Foundation Const. Concrete Chimney mason rtireplace 1
ull, part, none) (Kind) (Number
Heat. System
FA Type of Roofing Shake Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residence with double garage ; ;l Z.- --e.-A e 41,' No. of Units Bedrooms 4
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 (},i( 0 A State License No.
C i,t--4-7
233-01-18973
Ind. Ins. Acct. No.
356-237-000
s•, RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit VAiXXUi L&L
* III Heating Permit A&M
III 10
a a Sewage Permit Ros a
♦ SEE ATTACHED -+
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 7.-/4.. 7O
44,..62._
I hereby certify information submitted is correct an• are ther structures located on this property except
as shown. , •.- -- ,
LARRY PEPLINSKI BUILDERS INC. BY• ` _ -• r'Y ^ July 1978 I
Owner or Agent4Date J
A LAND USE OR STRUCTURE PERMIT MUST BE Oma" E PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PER .
Tk, h,\ i'Vq--if DO NOT WRITE BELOW THIS LINE
Tour street address will beY 1 /[/7
n,
/ �� `L_V .'6�1' 1 � "4'�E�' iY L�.'"-L'L'/ y��I,L� �.�i(.�Z.t.��i� 'vI/i �-a�..l...
( � .moi� -t' The zone is�fi ,?
Sewage Permit Number Issued Building Permit Receipt 4 =_ '`f Issued
Remarks 7/3
I l
Form 523 Bldg. Code
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