1976, 09-22 Permit App: L5588 Residence-p
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__ 1
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any y
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the 11
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.
J 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 PFPI_TNSKI Address E. 9803 Sprague 99206 Phone 928-1991
Architect Address Phone
Engineer Address Phone
Contractor Larry Peplinski Address W. 422 Cascade 99208 Phone 328-9514
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 2. Block 2. Wellesley Manor 4th Addition. County of Spokane.
State of Washington 36 "r.6 `{14
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 93 X 158 Sewage System S•T• Const. Frame
Fr., Conc., Br., etc.)
Stories 1 Dimensions 26X40 Single Garage 14X24. Total Sq. Ft. 1340 Valuation 29.500
Rooms 6 Baths_h___ Foundation Const.. Concrete Chimney None Fireplace None
Full, part, none__f_tL (Kind) (Number
Heat. System EBB Type of Roofing Comp_ Ext. Finish Wood Int. Wall Finish Drywall
gse of Bldg. Single Residence with single garage No. of Units L.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 strigts.: (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL COMMERCIAL State License No.
223-01-18973
Ind. Ins. Acct. No.
356-237-00
(See attached drawing) REQUIRED
Plumbing Permit L&L
m Heating Permit A&M
vi N Sewage Permit Walker
- ..4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed rr
V..
SOUTH
I hereby certify information submitted ' t t re are no o her structures located on this property except
as shown. —
® LARRY PFPI,TNSKT IC: � c/ Prssi‘e .L/ September 22, 1976
1 Owner or AgentC Date
BE
A LAND USE OR STRUCTURE PERMIT MUST ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /SI/5 t-(.f VI 6041.
The zone is .r: I
Sewage Permit Number Issued Building Permit 0&,511Receipt , Issued
Remarks
Form 523 Bldg. Code
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SQ. FT. /�'i 0 Style /004/-g. LEGAL DISCRIPTION: L..t)r,., Fai..g.2.., (.J[I.LE'3Li S-1 Si
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Job # ADDRESS:
'Power Co: ( Water Co: !�G A BUILDER: •T/'/RL-E P,I tE� , /-,.
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