1976, 02-25 Permit App: L2767 ResidenceCitify of Spokane, Washtton
JOB #307
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT yo
GENERAL REQUIREMENTS PERMIT FEE $*.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
'Cud or alter any building or structure already erected, or to change a land use. Construction must conform with tke
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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
Name of Owner KAPPFN CONSTRUCTION, INC. Address N. 2312 Pines Road Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor KAPPFN CONSTRUCTION, INC_ Address N. 2312 Pines Road Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 6, Block 1, Forest Meadow Addition
DESCRIPTION OF WORK: New XX Addition Remodel
ize of Lot 105' x144.30'x64.03' x70.32 `x187.04'
Storiesa_Dimensions 48'x38'
Rooms _12— Baths 2. Basement ful 1 Foundation Const Concrete
(Fu(I, part, none)
F A Elect. Type of Roofing shake Ext. Finish WOOd
Single Family Dwelling w/attached garage
M
oving Bldg. Zone ( Fire Zone
Sewage System Septic onst.
I'- (Fr., Conc.Frame, Br., etc.)
4
Total Sq. Ft-11111111__Valuation $38,950
Chimney brick Fireplace 2
(Kind) (Number
Int. Wall Finish gyp. board
No. of Units Bedrooms 3
Heat. System
Use of Bldg.
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
NORTH
RESIDENTIAL — COMMERCIAL
See Attached Plot Plan
6)-74 51x -
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
a
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
g -/t/ ‘2T9 February 25, 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 y4, 4�3 , 24-16-60—
Sewage Permit Number Issued Building Permit O� 76 7
Remarks
The zone iiss•�� 2 � 4--
Receipt G l O" Issued
Form 523 Bldg. Code
KAPPEV CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN C�
Requested Price 25g45-49
Lot Cost $4500.00
/ 0 -)
1 -
ELEVATIONS:
Crown of Street
Finish Floor
r
00
/.21f2 -
Fc:
-- /S'
fj
CA,e 4GE
Cov efrt
35'
1/2'
70. 1-2--
FceEsr A4Er4 vli Joel ✓E
asic:Ft.
1248-4L 1 1248
RA -Case # ;3o6 ?
None 1 307
L
Iortgage Co. Great Western
'ower Co.
_W.W.P.
'Tum6gr
. Harty
;AaEer Co.
L
;Excavator
Loshbaugh
Scale: )11::".2o/
L
r
Legal Lot 6, Block 1, Forest Meadow Addition
Address:
Forest Meadow Drive
3 Bedrooms, 2 Baths, 22'x24' Garage, Full Basement
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