1977, 09-20 Permit App: M3434 Residence4:4,4101, of Spokane, Wasllirigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT V-2--
GENERAL
tGENERAL REQUIREMENTS PERMIT FEE $32 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 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 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
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
whic re enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.•
r APPLICANT FILL 1N BELOW THIS LINE 11
7
or State
Name of Owner
Architect
Engineer
Contractor
Carl Karmen & Associates, Inc.
Address F 9919 Montgnmpry, cu i tp (Gtone
Address Phone
Address Phone
Address E. 9212 Montgomery, Suite 4¢�ne 922-1690
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Lot 5, Block 6, Midjome Addition 33_�_��
DESCRIPTION OF WORK: New X Addition
Size of Lot 150.00' x 87.00'
Remodel
Stories 1 Dimensions 24'x 40' x 22 x 24
Rooms 6 Baths 2 Basement full Foundation Const
Ful, part, none)
Heat. System Elec. b/broe of Roofing Comp Ext. Finish wood
Use of Bldg. Single Family Dwelling-- Unfinished basement
Moving Bld Zone �_ FireZone
Sewer
me
Sewage System Const.
r.. Cono.,ra8`39e51)
Iota t'Sq Ft Valuation Y '
concrete Chimney none Fireplace none
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
N
-1
NORTH
(Kind) (Number
Int Wall Finirsh gyp•
No of Units _ Bedrooms - 3
PLOT PLAN
property lines; (2) street or road locations; (3) location of 'existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL — COMMERCIAL
See Attached
I hereby ce
as shown.
SOU TH
State License No.
Ind, Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Py information submitted is correct anc� the a areno
other pstructures located on this property except/
Owns or Agent Date
A LAND USE OR ST • CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
SIS NOTA PERMIT.
ti
DO NOT WRITE BELOW THIS LINE
?-'our street address will be
Sewage Permit Number
Remarks
- i ``1112 / /3.0 42 ` The zone fe,1Cl /
Issued Building Permit) I RVI Receipt dd a/ Issued
1
Form 523 Bldg. Code
1
Carl Kappen & 'Associates,. Inc.
E. 9212 Montgomery, Suite 402
Spokarie;UWa. 99206 922-1690
PLOT PLAN
4' ` o
Requested Price 39',,501\
501\
Lot Cost
Basic:
7 /04
it Ft. -Case # .
•
OQ —
Sg. Ft/?)/( -42
¢Legal
2 Leal
1s6- F 9 1-C�1
c7f,BL_�_ds.lfa1/,6 Viola/.
' 7 Address: l/ - /
ELEVATIONS:
Crown of Street-r)q-6
Finish Floor �a>=
Scale: / )0'
Mortgage Co.
Power Co.
Plumber
4
-...- r Co. ,inti,: �3 h�rn, c1 6411-k. nit .-t S./ C o h= 1
V!;r4_.; 2i; 41-4
;Excavator'
1