1977, 06-13 Permit App: M1856 Residence .,,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920 ,
..
APPLICATION FOR LAND USE OR STRUCTURE PERMIT l/ 5
GENERAL REQUIREMENTS PERMIT FEE
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 Mike Pepl inski Address E. 12929 Sprague Ave. Phone 928-1991
Architect Address Spokane, WA. 99216 Phone
Engineer Address Phone
Contractor Mike Pepl i ns k i Address E. 12929 Srpague Ave. Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 15, Block 1 -- Ridgemont Estates
County of Spokane - State of Washington 2t; �_ Otter
DESCRIPTION OF WORK: New XX Addition . Remodel Moving / Fire Zone
Size of Lot 93' x 174.26' Sewage Syste Const.Frame-Masonry
Fr., Conc. r, t
Stories 1 Dimensions 48.6 x 24 --12'12 ' x 26' Att. Gar. 21 x 24 Total Sq. Ft. 2004 Valuation $,/,uuu•00
Rooms 6 Baths2 Basement Ful ►Foundation Const. Concrete Chimney Brick Fireplace 2
Full, part, none) (Kind) (Number
Heat. System Radiant Type of Roofing Shake Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residence - attached garage No. of Units 1 Bedrooms 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 RESIDENTIAL—QQAQmElicIAJ State License No.
,6
91-0968082
Ind. Ins. Acct. No.
369-027-00
REQUIRED
SEE ATTACHED
Plumbing Permit L & M
m Heating Permit A & M
en N in Sewage Permit WALKER
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitte is ct and the are no other structures located on this property except
as shown.
MIKE PEPLINSKI )L,. .�. N., JUNE 13, 1977
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
11.-74, x ; DO NOT WRITE BELOW THIS LINE
Your street address will be South eg ( (o Vera Crest Drive S ilia lgongajai ly
Sewage Permit Number Issued Building Permit g9, ceipt Issued
Remarks l{,�I ,
5
Form 523 Bldg. Code
-11•1
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