1977, 12-16 Permit App: M4445 ResidenceCounty
of
Spokane,
Washington
BUILDING CODES DEPARTMENT,
N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ---- $__65.00
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 LINE
Name of Owner Larry Peplinski Builders, IgBdress E. 12929 Sprague Ave. Phone 928-1991
Architect Address Spokane, Washington 99216 Phone
Engineer Address Phone
Contractor Larry Pepl inski , Builders, InAddress F. 12929 Sprague Ave. Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number — 4 4 3 O 9 CJf-
Lot 6 Block 8 Rotchford Acre Tracts
County of Spokane, State of Washington
DESCRIPTION OF WORK: New ice_ Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 164' x 325' I r r . Sewage System S.T. Const. Frame
x 6 ' + ]' x �6' + 3'x 20' + 207 +$32 Fr., Conc., Br., etc.)
Stories 1 Dimensions _21X221 g I nc 1 Ldec_ d I- gar. 22x22) Total Sq. Ft. 004I Valuation $ 72,000
Rooms _11—Baths21 Basement FUl 1 Foundation Const.. Concrete Chimney"""' Fireplace None
Fu 1, part, none— (Kind) (Number
Heat. System F.A.E. Type of Roofing Shake Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Res iden ce - Double Attached Garage No. of Units 1 Bedrooms
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.
0-e
NORTH
SEE ATTACHED
SOUTH
State License No.
233-01-18973
Ind. Ina. Acct. No.
356-237-000
RESIDENTIAL —COMMERCIAL
REQUIRED
Plumbing Permit Mueller
MHeating Permit Fobco
HSewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informatsu mitted ism correct and there are no other structures located on this property except
as shown. "-- 9 :2
(2!rgr or Agea Larry rept InsKI liul hers, Inc. Date uecemner lo, ly//
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. `
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
South 1411 Shamrock Street
Issued
Building Permit
4 Agricultural
The zone is
Receipt / e-ZCD Issued