1976, 11-09 Permit App: L6182 ResidenceCok.ditli of Spokane, Washi.- jton JOB #339
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $44.00
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 mast 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 _ Kappen Construction, Inc- Address N. 231? Pines Road Phone 9 ?8 -3660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction, Inc. Address
N. 2312 Pines Road Phone 928 -8660
Lot 19, Block 4 Sherwood Forest
Legal Description of Property (Gi-e complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 80'x132'
Stories
1
Rooms 6
Heat. System
Use of Bldg.
Dimensions 42' x26' x10' X22 `x24' x8'
Baths 11/2 Basement full
(Fun, part, none)
elec. f /aType of Roofing shake Ext. Finish
single family dwelling- unfinished basement
Foundation Const
,8 ..4
Moving Bldg. Zone / Fire Zone "--3
Sewage System septic Const. frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 1620 Valuation $41,950
concrete
PLOT PLAN
Chimney brick
(Kind)
wood Int. Wall Finish
No. of Units 1
Fireplace 1
(Number
gyp. bd.
Bedrooms 3
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
NORTH
RESIDENTIAL — COMMERCIAL
See Attached
SOU TH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures /oca ed on this property except
as shown.
Owner or Agent
p-7
Dade
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
L! /q
DO NOT WRITE BELOW THIS LINE
Your street address will be f7 c &./ G r L. r The zone is
/ G
Sewage Permit Number Issued { Building Permit s:4 ',/ 8-. Receipt Sl_S 3 a - Issued
Remarks /,
Form 523 Bldg. Code
,K,APPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
,928 -8660
q
Requested Price,$ 1/4, 9 T3
Lot Cost
PLOT PLAN
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