1978, 06-06 Permit App: M6621 Residence, Renewal of M2181 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 97.00
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 Larry Pepl inski Builders, Inaddress E. 12929 Sprague phone 928-1991
Architect Address Spokane Washington 99216 Phone
Engineer Address Phone
Contractor Larry Pepl inski Bui lders, InCAddress E. 12929 Sprague Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number.2q$V 3- D7/43
Lot 16 B1k 7 Rotchford Acre Tracts
County of Spokane, State of Washington
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
size of Lot 150* 8' I rreq. Sewage System ST Const. Frame
Includes double ggarage 22'x22') (Fr.. Conc., Br., etc.)
Stories F Dimensions 8'x22+ 20 'x26'+22*22 + 26'x22' Total Sq. Ft. 2192 Valuation -SSC-54°
Rooms 5 .Baths2 Basement Full Foundation Const. Concrete ChimneyMaSonry Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System FAE Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Use of Bldg. Residence-Double Attached Garage y No. of Units ,.L Bedrooms 3
PLOT PLAN /��GZ-4..e-
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Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
e and water supply lines.
NORTH State License No.
233-01-18973
Ind. Ins. Acct. No.
356-237-000
RESIDENTIAL-COMMERCIAL
SEE ATTACHED REQUIRED
Plumbing Permit L & L
in Heating Permit A & M
in
ut N Sewage Permit Rosa
-I me
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
4/;fi9=d-rt--4--
SOUTH /
I hereby ce fy nfo ion = bmitted is orrect and there are no other structures located on this property except
as shown. y
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tc' / - y -41
Owne orAge, s Larry Peplinski Builders, Inc. Date June 1 , 1978
A LA USE OR UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PE IT.
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1, DO NOT WRITE BELOW THIS LINE
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Your street address will be E. 16309 16th N -6 ,.L The zone is Agricultural
Sewage Permit Number IssuedBuilding Permit\\ Receipt 2 L y(/-
Issued
Remarks
Form 523 Bldg. Code
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