1978, 06-06 Permit App: M6620 Residence, Renewal of M2184 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201 ci
O
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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. 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 Peplinski Builders Inc. Address E. 12929 Sprague Phone 928-1991
Architect Address Spokane, Wn. 99216 Phone
Engineer Address Phone
Contractor Larry Peplinski Builders, Inc. Address E. 12929 Sprague Phone 928-1991
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 24545 'C71s
Lot 15 Block 7 ke yt rt z. j:=(::ii 7 ",. "
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 o)Lot 150' x 362 ' I rreg. ST Frame
/ Sewage System Const.
.,amu System,. /Q f j"2_'/ (Fr., Conc., Br., etc.)
Stories Dimensions . 41)(39 + 24 x 22' ( includes double garagetlal sq. Ft. Valuation
Rooms 4 Baths ! Basement Full Foundation Const. Concrete Chimney Metal Fireplace 1
(Full, part, none) (Kind) (Number
Heat. System FAE Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish D rywa l l
Use of Bldg. Residence- Double Attached Garage No. of Units L Bedrooms 2
L
PLOT PLAN ! --- /"7 a l 0
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.
233-01-18973
a Ind. Ins. Acct. No.
01(i/
356-237-000
RESIDENTIAL COMMERCIAL
REQUIRED
SEE ATTACHED Plumbing Permit LS L
in Heating Permit A&M
PI I.
Ut a Sewage Permit Rosa
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
(0/0 g ‘4:.(°**
SOUTH
I hereby ce y ii1for tion su.oitted is eor •ct and there are no other structures located on this property except
as shown. / /
Car. r or Agen/Larry Peplinski Builders , Inc. Date June 1 , -1978
A LAND USE •R RUCTURE ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A RMIT.
67,/ , -21/Leq4LliD DO NOT WRITE BELOW THIS LINE
Your street address will be E. 16317 16th The zone is Agricultural 2.4.—
Sewage
Permit Number Issued Building Permit Receipt Issued
Remarks 6/ / 0
17)
Form 523 Bldg. Code
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