1977, 09-20 Permit App: M3409 ResidenceGENERAL
Cesnty of Spokane. Wash ngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 �=-
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /ia o o 1
REQUIREMENTS PERMIT WEE .._..- 2-000 ,
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 onwater 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.
��J/%I �l ta
APPLICANT FILL IN BELOW THIS LINE a ��ZT(�9d
Name of Owner Address E. 9212 Montgomery,�us- Phone
Architect Address Phone
Engineer Address Phone
contractor Carl Kappen & Associates, Inc. Address E. 9212 Montgomery, #402
Phone 922-1690
Legal Description of Property (Give complete description from deed, tax receipt -etc 1
Lot 1, Block 6 Midrlome Addition
33 25-54 f
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. -Zone _i___— Fire Zone s"5
Size of Lot- 150.00' x 68.59' x 129.89'x 87.86'
Sewage System Sewer CConst, Frame,
Stories Dimensions x
1 24' 40' x 22' X 24' / 7 v X8#2 (Fr., Conc.e 1
_ Total Sq Ft Valuation ft9,b 0.00
Rooms 6 Baths -111.711.
2 Basement Ful 1 Foundation Const Concrete none none
Chimney Fireplace
Fu I. part, none) (Kind) (Number
Heat. System Elec. b/bdType of Roofing COMP. Ext. Finish WOOd Int Wall Finish Gyp brl
Use of Bldg. Single Family Dwelling - Unfinished Basement No of Units L. Bedrooms 3
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
RESIDENTIAL - COMMERCIAL
See Attached
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
,n Heating Permit
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert'fy information s b itted is correc t and other tructlocated on this property except
as shown.
.ray //,(� 7/2-6/27
Ow or Agent Date
A, LAND USE OR St I UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
LPIIs 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
1/Tour street address will be
Sewage Permit Number
Remarks
pp.9 2 a1
aC146' g �Q,ai I ✓ 'e zone is al)/
A�f/�J.
Issued Building Permit / Receipt /)d a,/ Issued
o013
Form 523 Bldg. Code
Carl Kappen & Associates, Inc. f14
¢
---E._ 9212 Montgomery, Suite 402 ti •r4: •
Spokane, -Washington.. 99206 9224690 _
PLOT PLAN
Requested Price 3 9', 41,5-6°
Lot Cost 7oc>c>
ELEVATIONS:
} Crown of Streett.W1
Finish Floor .79,'--'
1-
Basic.: ; Sq. Ft.
lair : j%fi__L a ¢L -L
.FFN,+Case V ; ; Job-#
Mortgage Co.
•
sower Co . .Qr l Qa erCo . a r
1- V b'
Tum5er ;Excavator
1.
1 .21
r
'Scale:)
Legal
Address: