1978, 06-01 Permit App: M6630 ResidenceCounty 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 thet.,
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Nater supply must be approved by the County and State Health Departments. Where work on water connections disturbs
f 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 OP 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 PPIPI i nsk i Bu i 1 ders, I
ncAddress X929 Spra9uP Phone 928-1991
Architect
Address Spokane, Washington,99216 Phone
Engineer
Address Phone
Contractor I arry PPrI i nck i , Ru i Idpr5, Inc-
Address E. 12929 Sprague phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 2 y 5N 3 - 610-5
Lot 5 Block 8 - S. 1407 Shamrock St.
Rotchford Acre Tracts
County of Spokane, State of Washington
ROADWAY R/W WIDIM- '
XX
1 3
DESCRIPTION OF WORK: New Addition
Remodel Moving Bldg. Zone Fire Zone
132'x304' Irreg.
Size of Lot 9
S.T.
Sewage System onst. Frame
�Fr., Conc.,
1 - 43'x27'+24'x38' (i
Stories
Br., etc.) yl
luded a 207_������L_11��Valuation �Q
Dimensions _ Total Sq. Ft. --r([`
Rooms Baths Fountl� 4' oib 1 e ga•ra crete Chimney � W9place Br ick 2
!asernem
Fu I, part, none
(Kind) (N bar
Wood Drywall
Heat. System FAE Type of Roofing Shake
Ext. Finish Int. Wall Finish
Use of Bldg. RPc i dP_ncP-Dnuh 1 P Attached Garage
No. of UnitsL-Bedrooms 2
PLOT PLAN /Wae_� /1/ "? � 7 }—
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines
and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH
State License No.
211-01-181471
t
M
N
I hereby
as shown.
SEE ATTACHED
A LAND U�R STRUI
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
SOUTH
Ind. Ins. Acct. No.
6-237-000
(:
tNO9='ED
COMMERCIAL
Plumbing Permit L & L
M Heating Permit A & M
N1
Sewage Permit Ros a
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
GIs774f
tted is correct and there are no other structures located on this property except
h
Larry Peplinski Builders, Inc. Date June 1,19 8
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Issued
DO NOT WRITE BELOW THIS LINE
rock S
Building Permit
' The zone is A2ricultural
_ Receipt Issued
Form 523 Bldg. Code '