1976, 01-27 Permit App: L2508 ResidenceCo..nty of Spokane, Washuigton JOB # 26
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 40.00
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 or Sate
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 Mand
which are/ nforceable 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_ 2312 Pipet Road Phone928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction, Inc. Address N 2312 Pines Road 99206 Phone928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 6, Block 1, 13th Addition to Veradale Heights
Parcel #
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone 1 Fire Zone
Size of Lot 80.02' x 133.58' x 79.55+ x 111.38+ sewage System septic Const. frame
(Fr., Conc., Br., etc.)
Valuation 28,950
Storiels - Dimensions 56' X 24'
Total Sq. Ft 1419
Rooms Basement ful 1
Full, part, none) Foundation Const concrete Chimney
none Fireplace(mber
none
(Kind) Nu
Elect BB Type of Roofing comp. Ext. Finish wood Int. Wall Finish qP bd
single family dwelling, double garage
Heat. System
Use of Bldg.
No. of Units Bedrooms 2
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.
m
a
NORTH
RESIDENTIAL — COMMERCIAL
See Attached Plot Map
State icense No.
40.74/
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ' 4467
n� Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submit ed is correct and there are no other structures located on this property except
as shown. t.
Januar 27, 1976
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be `/1,
Sewage Permit Number Issued Building Permit
'7L,(7 -
Remarks
The zone 4 �S \-71"/P"
Receipt / Issued
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
N. 2312 Pine-s,----Rth
Spokane, Washington 99206
928-8660
PLOT PLAN
M. 38'
Requested P ice 79
Lot Cost x/,so
ELEvATIONs
Crown of Street
Finish Floor
-
Scale:
Basic
FHA Case # 1 Job #
2
Mortgage Co
Power Co.
Plumber
___HARTy
Water Co.
.:_cdOlYS.Q.L.LDT4a
Excavator
1,0S1-1136111.11.
r
Legal Lar', 3LOcx/,
Address:
OL) 1q
SPECIAL INSTRUCTIONS: ,j,2 iFFs,
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