1977, 04-05 Permit App: M781 Residence�Ct,ojnfy ®f Spokane, Washadigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ---44.00
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.
MATER. 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 ingr�ss
gnd egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work muss 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 Ian
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
N e of Owner Kappen Constr. Inco" Address 2 2 Na Pines R a 99 06 phone - • 660
Rdchitect Address Phone
Engineer Address Phone
Contractor Kappen Constro Inc.. Address 2312 .No P"fines Rd o 99206 Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 15, Block 2. Sherwood Forest Portion of Parcel # 20543-9027
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 80X1 30 Sewage System septic tanonst. frame
Fr., Conc Br. tc
Storiesl Dimensions 64X26 Total Sq. Ft. 1644 Valuation4 ,95�.�0
Rooms 6 Baths 1 2_— Basement f Ul 1 Foundation Const.. Concrete Chimney by 1 Ck Fireplace 2
(Full, part, none— (Kind) (Number
Heat. SystemElect. FA Type of Roofing shake Ext. Finish wood .Int. Wall Finish GYpo bdo
Use of Bldg. single family residence attached garage No. of Unit, _1Bedroom. 31
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 RESIDENTIAL COMMERCIAL State LicendA No.
Ind. Ins. Acct. No.
CA
see attached plot plan
SOUTH
REQUIRED
t
Plumbing Permit
M Heating Permit
a Sewage Permit
Plans Received '
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here" certify informat' n submitted is correct and there are no other structures located on this property except
as shown. // April 5, 1977
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9�T_ DO NOT WRITE BELOW THIS LINE
Your street address will be �� ryyf,,r The zone isr' r
Sewage Permit Number Issued Building Permit 78/ Receipt 7 7 Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC. i Requested Price
North 2312 Pines Road a
Lot Cost -r -
Spokane, Washington 99216
928-8660
PLOT PLAN
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ELEVATIONS:
Crown of Streetf i
Finish Floor t '�
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Basic--------- sq. Ft. '
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Legal
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FHA -base-# ,�06 � �
Address:
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Mortgage Co. �� �.� ✓l,� � � � �_
ePower- o-----/ ---- Qater-Co.7",----
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'P umber , ; Excavator ,
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