1978, 11-20 Permit App: N1529 ResidenceForm 523 Bldg. Code
Job # 106
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $54.00
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 mast 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.
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.
APPLICANT FILL IN BELOW THIS LINE G Rook.
Carl Kappen & Assoc.,
Name of Owner Inc. Address N. 2-5 Mull 11 a-uite 304 phone 9221690
Architect Address ®r Phone
��Aqq.2/4.
Jl 2 .
Engineer Address / 1 �6 d���tttt G�k ` d� Phone
Carl Kappen & Assoc., Inc. Address N 2S Mullan, Suite. 304/922-1690
Contractor one
LegawI Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number P/fl [ a asij. '-b/� &1/ ,
Lot 2, Block 2 - Snoopys AM Addition
Egg la dFuf.52ew x Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 80' x 130.21' x 75.38' x 134' Sewage System septic oast, frame
)
1 40' X 24' 1004 Val Cion 4 950.00
Stories Dimensions Total Sq. Ft Valuation $
Baths 1 Basement 1111 Foundation Const concrete Chimney none Fireplace none
Rooms ounon
_E.
(Full, part, none (Kind) (Number
Heat. System elec. b/bc#ype of Roofing comp. Ext. Finish wood Int. Wall Finish gyp. bd.
Use of Bldg. single family dwelling - unfinished bsmt. No. of Units 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
State License No.
/
Ind. Ins. Acct. No.
see attachedESIDENTIALy�
COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
no to
to Sewage Permit
-I
.4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here c r�ifyy�ilnformat n submitt - correct d�thhere are no other structur ,9-4/?re on this property except
as shown.JUi'Li� /% ea ,9/?re
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
&ALS 9 DO NOT WRITE BELOW THIS LINE
, 1lt`/7G
Tour street address will be S. Ci0 a .IV
The zone is S F 1---Q-.A.
Sewage Permit Number Issued Bui ding Permit ;i Receipt "Nit Issued
Remarks / y' /3.2- 23 --.,
Form 523 Bldg. Code
Carl Koppen &
Associates, Inc.
N. 25 Mullan, Suite 304, Spokane, WA 99208
Phone (509) 922-1890 PLOT PLAN
Requested Price -5/07. 9 so
Lot Cost Sv o
ELEVATIONS:
Crown of Street
Finish Floor
39/
39,
49
7
(t---1")
Basic:/DD1 Sq. Ft. ioo
FHA Case #
Job# /L
Vortgage Co././3.1 4 3 iii_ /
Power 1 W .
ater C
Co.,e rte_ --_.1 _ (/ - -_
1 Excavat
r/.9 _ 0,5,2r
Plu
Legal �0) BM-
Address:
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Scale:
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