1976, 09-22 Permit App L5605 Residence, GarageCanty of Spokane, WasIfigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201),
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
6v
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 disturb4
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 a‘e
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 Address E. 9803 Sprague 99 ?O( Phone 928-1991
Architect Address Phone
Engineer Address Phone
contractor _ Larry Peplinski Address W. 422 Cascade 99aog Phone 328-9514
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 12, Block 2, Wellesley Manor 4th Addition, County of Spokane,
State of Washington
DESCRIPTION OF WORK: New X
Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 73X155 Irr. Sewage System S.T. IY�onst. Frame
(Fr., Conc., Br., etc.)
Stories 1 Dimensions 25X38 with single garage 14X24 Total Sq. Ft 138 Valuation 29.250
Rooms 5 Baths 1 Basement Full Foundation Const Concrete Chimney None Fireplace
(Full, part, none) (Kind) (NumberNone
EBB Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywall
Single Residence with single garage No. of Units L Bedrooms 3
Heat. System
Use of Bldg.
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 f RESIDENTIAL — COMMERCIAL
(SEE ATTACHED DRAWING)
SOUTH
I hereby certify information submitted is correc
t as shown.
}
LARRY PEPLINSKI
Owner or Agent
BY
State License No.
223-01-18973
Ind. Ins. Acct. No.
356-237-00
REQUIRED
Plumbing Permit L&L
n� Heating Permit Fobco
Walker
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
Sept. 22, 1976
Date
A LAND USE OR STRUCTURE PERMIT MUST BE 0 HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / 3
Sewage Permit Number
Remarks
Issued
Ct The zone is vy if%?
Building Permit �: Receipt - 7 Issued
cr, /3/7
ie(-) 1C • 9Y2 yE
a-sqL.: 'xi /2, r-�-K, z, ur Q HI*
.
LO GOP
O :a-.
THREE PINES .REALTY. INC.
Larry Peplinski