1976, 09-22 Permit App: L5590 Residence .,
C.fdnfy of Spokane, WasLngfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI 0 8
GENERAL REQUIREMENTS PERMIT FE ._
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
f the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. 1
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
1 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
j 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 Address E. 9Rn1 SpragiiP 992Q6 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 9. Block 2. Wellesley Manor 4th Addition, County of Spokane.
State of Washington 36 -, - 'viz
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 CFire Zone 3
Size of Lot 85 X 129 Irr. Sewage System S S.T. �}+�onst. Frame
(Fr., onc., Br., etc.)
Stories 1 Dimensions 22X25 plus single garage 14X23 Total Sq. Ft. 1393 Valuation 26,950
Rooms 4 Baths 1 Basement Full Foundation Const. ConcreteChimne y None Fireplace None
(Full, part, none)
(Kind) (Number
Heat. System EBB Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish _Drywall
Use of Bldg. Single Residence with single garage No. of Units I_Bedrooms 2 _
10 PLOT PLAN
(7 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 — CIMMERCIAL State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-00
(SEE ATTACHED DRAWING)
REQUIRED
Plumbing Permit L&L
m Heating Permit Fob co
r" a
t^ N Sewage Permit Walker
.4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is c ct mf-thee a, e n0 o her structures located on this property except
as shown. ]
LARRY PEPLINSKI BY: / ( ., • Sept. 22, 1976 )
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST aN T E PREMISES BEFORE CONSTRUCTION COMMENCES.
r THIS IS NOT A PERMIT.
1 0-rt_, "12C_ ,Ca.:. DO NOT WRITE BELOW THIS LINE
Your street address will be
1L f The zone is .J. P ,
Sewage Permit Number Issued Building Permit , $.51l.teceipt - ..'-`lr Issued
Remarks
Form 523 Bldg. Code
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Water Co.j,&.ti: Power Co. 0 aAAddress:
Builder: .(1.—ff Z= rr 13F3 :Ct .
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