1976, 09-22 Permit App: L5587 Residence.1,
Cointy of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (1
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 J
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 Ownei LARRY PEPLINSKI _Address E. 9803 Sprague 99206 Phone 928-1991
Architect Address " Phone
Engineer Address
Contractor Larry Peplinski Phone
Address W. 4,�2' Casc�e 99208 Phone 328-9514
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 10, Block 1, Wellesley Manor 4th Addition, County of Spokane,
State of Washington 3K. • 6 • `/y'
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 96X128 Sewage System Sept. T. const. Frame
(Fr., Conc., Br., etc.)
Stories 1 Dimensions 38X25 with single garage 14X24 Total Sq. Ft. 1318 Valuation 29,250
Rooms 5 Baths 1 Basement Full Foundation Const. Concrete ChimneyNone Fireplace None
(Full, part, none) (Kind)
(Number
Heat. System EBB Type of Roofing f.nmp_ Ext. Finish l ood Int. Wall Finish Drywall
Use of Bldg. Single Residence with single garage No. of Units l 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 stre • ) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL — OMMERCIAL State License No.
L_ 223-01-18973
Ind. Ins. Acct. No.
356-237-00
(SEE ATTACHED DRAWING)
REQUIRED
Plumbing Permit L&L
In Heating Permit Fob co
m a
'^ H Sewage Permit Walker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I SOUTH
I hereby certify information submitted is c.' •nd ther- . no . -he r . yuctures located on this property except
as shown.
LARRY PEPLINSKI BY % a..,i1!MI .v4_ Sept. 22 1976
Owner or Agent ` � -- r
sate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE • • = SES B.F• •E CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6-„4,,-74(.0 DO NOT WRITE BELOW THIS LINE
Your street address will be /"/.' co a '.../ii-L7, Ell The zone is 2 .F iR i
ell
Sewage Permit Number Issued Building Permi Receipt :5Z 9 4 f Issued
Remarks
Form 523 Bldg. Code •
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