1977, 09-20 Permit App: M3422 ResidenceC<Vanty of Spokane. Washsigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $30.00 5,
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an]..
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 tae 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 arp enforceable through civil action. County Officials can not bring action to,enforce covenants or dedications.
et -rt- —1-1-cuJ APPLICANT FILL IN BELOW THIS LINE
Name of Owner
HerasesSacmtPiR,ei.on AddressE. 9212 Montg.4_mery, Suite - .ene rg28 1jTv1—",
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Associates, Inc, AddressE. 9 Mon gomery, Suite 40inone 927-1690
Legal Description of Property (Give complete description from deed, tax receipt etc.)
Lot 27 Block 2, Midlome Addition
DESCRIPTION OF WORK: New X Addition Remodel Moving
Size of Lot 150.00' x 83.50' Sewage System
Stories SE Dimensions 24' X 40' X 22' X 24'
5 Baths Basement Full
Full, part, none)
Elec. b/bdType of Roofing
Single Family Dwelling
Draw sket with dimensions �(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.
Rooms
Heat. System
Use of Bldg.
Foundation Const
Concrete
Total Sq
romp Ext Finish W00d
— Unfinished basement
Bldg. Zone _/ Fire Zone j
Seweronst. Frame
/..5-..,..7 (Fr., Conc., Br., etc,)
Ft "' Valuation $39,950.00
Chimney none Fireplace none
(Kind) (Number
Int Wall Finish Gyp bd
No of Units L Bedrooms 2
PLOT PLAN
N
-1
NORTH
RESIDENTIAL — COMMERCIAL
See Attached
SOUTH
I hereby certify information submitted is corran
as shown.
m
a
N
-1
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
thepg arg no other structures located on this property except q
A,LAND USE OR
THIS IS NOT A PE
A.011 _
7.1 Your street address will be
q,
Sewage Permit Number
Remarks
�•er or Agent
TRUCTURE PERMIT MUS
MIT.
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
pp DO NOT WRITE BELOW THIS LINE
RC1
34,4 i� ltitu
Issued' Building Permit
m—.3UaD_
The zone Ss;SI_ter,4 •�./I ntiLAC
Receipt Q 0 :2- Issued •
ons 3
Form 523 Bldg. Code
• gg ,
Carl KappenY&:Associates, Inc.
E. 9212 Montgomery, Suite 402
Spokane, Wa.' 99206 922-1690
f
Requested Price ,3, 9 , `7S0
Lot Cost 7icbo"
PLOT PLAN F'
8 3, s o
I
•
i}
1—
ELEV'ATIONS':
Crown of Street7'.25.T.
Finish Floor t3/
Scale: /
11asic:
FAA -Case
.Mortgage Co.
Power Co.
L
S. N. c�
Job #
rJD %c rG�'�
Rater L9.
PTum6er •
;- Address. i
Af A y '
Excavator
Legal. Grp-cm►1-