1979, 04-05 Permit App: N2561 Residence Cour r of Spokane, Washin `on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
82.00
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. Con-
struction must have inspections.
d. WATER. Water supply must be approved by the County and State Health Departments.Where work on water connections disturbs the surface, shoulders 4
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 is required. See current
Spokane County Zoning Ordinance for all required set-backs.
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 building(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 1-41211 ?Pu('ISkt JILD€ )f4 ldress P.0. Box 14410 Phone 928-6090
Architect Address_$._pokane, Washington 99214 Phone
Engineer_ Address Phone __
Contractor Larry Pep.' i nqk i Address P.O. Box 14410 Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number/3Mr 0/tf yr_ 0/541 Ji'34.0
L 4 B1cx 50 4114 AcRes - -
County of Spokane, State of Washington
DESCRIPTION_OF WORK: New Addition Remodel Moving Bldg. Zone .__] Fire tone 3
Size of Lot
�� � s' 9 �14 y� Sewage System SE 9Const. �124tNIVG
(Fr., Cone., Br.,_etc.)
Stories 2 Dimensions 64 x�$ garage TotalFt. 1 792 , 7
;;��II�� Sq. Valuation_
Rooms 0 Baths 2 Basement PART Foundation Const. cow-cm-re BD�� 2—
Chimney_ Fireplace
��+± E.
(Full, part, none) L i- (Kind) (Number
Heat. System FAE. Type of Roofing Sk�i�•C Ext. Finish WOOD Int. Wall Finish OR'{'WALL_
Use of Bldg. F rZ (ort/`{_„ a No, of Units_. Bedrooms 3
ROADWAY R/W WIDTH
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 State License No.
4t- 233-01-18973
Ind. Ins. Acct. No.
356-237-000
MEC: - COMMERCIAL
REQUIRED
See Attached
Plumbing Permit AT 3' 6
m
Heating Permit 0.A
Sewage Permit cer T1v1�
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is col)t a r'there no other structures located on this property except
as shown.
LARRY PEPLINSKI BLDR: BY: ^ 411I1PA iit Aprilj 1979
Owner or Agent \` Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
(: 4L DO NOT WRITE BELOW THIS LINE
Your street address will bey(' /Z, 7(94, °" dzvt1�-�, i V e zone is Y1( f �� , .t
�'A./r�
Sewage Permit Number Issued_ Bui ding Permit Receipt 0/)(77 Issued
Remarks
FOri' 523 Bldg. Code
1 41t
1 if
t
1
4
3 T.
j
1
Y
Oki
I
y
i •
(3l
A C
1 4
``.. � F i
ON
,,,
N N1
r .L (c tc, •
i'
'gg
.. t
c
. f
..,,, - f-' ---
t c 4
i
1 2• A l
•
' t
/b'
i_ ._.__ __. __. _._._._ _ __. ___. /a c 1 __ _ _.
WELLESLEY AVENUE
Lot 4 Block 2 Sunnyvale Acres 1146 4 Level
Larry Peplinski Bldr. '�_
1 20 .
1
1