1977, 09-20 Permit App: M3411 ResidenceCanty of Spokane, WasI!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any1
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 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.
RESTRI IVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which e enforceable t rough civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect _ Address Phone
Engineer Address Phone
Contractor Carl Kappen & Associates.• Inc. Address E. 9212 Montgomery, Suite 4Q%rone 922-1690
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Lot 23, Block 2, Midilome Addition 33=,25—ifll
Address E. 9212 Montgomery, Suite 64111pne 928-1161
DESCRIPTION OF WORK: New • X Addition Remodel Moving Bldg. Zone _/ Fire Zone
Size of Lot 150.00' x 83.50' Sewage System Sewer Cpnat, Frame
Fr., Conc.,ilii. a c�J
StoriesLDimensions 24 x 40 x 22' x 24' `-1 510
Total Sq Ft Valuation
Rooms 6 Baths 2 Basement Full l Foundation Const Concrete nonone
(Full, part, novel Chimney Fireplace
(Kind)ne 1fNumber
Heat. System Elec. b bd Type of Roofing COMO Ext. Finish Wood Int Wall Finish Gyp• DA
use of Bldg. Single Family Dwelling - Unfinished Basement
No of Units 1 Bedrooms 3
• Ccirztactet PLOT PLAN GoS%V
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
m Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitt-d is correct an there ary, no other structures located on this property except
as shown.
/refit. 9/2-o:77
Owner .r Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
a
. Your street address will be3S/(J /�,
�r / � f ` The zone is 4.2 -trr
Aide.
/ t
Sewage Permit Number Issued Building Permit 3 /r Receipt 00 �-� Issued
Remarks
Form 523 Bldg. Code
.
Carl Kappen & Associates, Inc.
E. 9212 Montgomery, Stiite 402
Spokane, Wa•: 99206 922-1690
Bas Tc:
/0/r
PLOT PLAN
/6/
I,
Requested Price 3 ,, 35—
Lot Cost 7Oo&k h4.1�
1 -
ELEVATIONS: aS
Crown of Street �3-:.
Finish Floor tja X
FAA/Cafe -kg
Sq. Ft.
L ti
C1. Mortgage Co. ,i fi r L ✓�"!
oti
-p; Power Co. ; ater To.
L 0/0,i, /272, •_tip
1 Plumber ;Excavator ;
M
L
r
Scale: /''=pa'
Legal C ;
Address: S 3c-10