1971, 03-02 Permit App: L3634 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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1
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 cork 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. 122 University Rd. Phone WA4 -0771
Architect Phone Engineer Phone
Contractor Kappen Construction, Inc. Address N. 122 University Rd. Phone WA4 -0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 1, Block "C ", Chester Hills Addition
.249 5 :�n(
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot X 62.5x168.95x102.8x168.96 Sewage system Septic Stories 11/2
Const. Frame Dimensions 60x24 Total Sq. Ft. IA 1920 Valuation 25,250.00
(Frame, concrete, brick, etc.)
Rooms 8 Baths 2 Basement Full Foundation Const Concrete Chimney Brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System Electric Type of Roofing Comp. Ext Finish wood Int. Wall Finish 9yp • bd •
Use of Bldg. Living Residence No. of Units Bedrooms
Garage or Carport Attached garage attached
Private Detatched
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 pronel'ty lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines. L�"
' ICA -96
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SOUT
H /(e 1,95
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify inigrmatign subja ted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
3/2/71
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be / 66
Sewage Permit Number Issued
Remarks
DO NOT WRITE : ELOW THIS LINE
Building Permit
e zone is
Receipt Issu
Form 523 Bldg. Code