1977, 04-06 Permit App: M1370 Residenceo
of S kane, Waslmgton
C�nty P
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 24.00
tructure
rmit
ty
to
ect a
or
e of
PERMIT d orEQr altter any buiuse or lding orsstructurrepalreadysererequired
ted dory touchangesallanduse.erConstructionnmust conformrwith 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.
leastSET-BACK 25'FisMrequired, al 5' side yard,zones and 15' side yardrmost from acflankingnstreet,sandback 25' rearhe yardont areprequiredrty line, of at
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
e
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
j MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
I Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
4.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
which lareyenforce enforceable Buildersld check
Countysions of Officialsocanants or not bringdactionntosnd enforcements covenantslng with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone 928-8660
Address Phone
Architect Phone
Engineer Address
Contractor Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 2. Block 4, Guthrie's Valley ViPw 5th Addition
Parcel # 17553-1402
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire )nndfi
103x120x50x132 Sewage System septi c tan onst.
Size of Lot 800 Fr., Conc., Br., etc.)
32x24 Total Sq. Ft Valuation 30,050.00
Stories SE Dimensions none
RoomsS--Baths j Basement frill Foundation Const concrete Chimney Fireplace ry�
(Full, part, none) (Kind) gyp. Dber
Heat. System E1 ect.
BB T
ype of Roofin g comp. Ext. Finish wood Int. Wall Finish 2
Use of Bldg.Si ngl a family dwelling, unfinished basement No. of Units— Bedrooms
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
COMMERCIAL
see attached
State License�No.
/v'
Ind. Ins;Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I he5ej,y cert / inf r ion submitted is correct and there are no other structures located on this property except
April 6, 1977
as shown , ii
Owner or
g
nt
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
MA VA DO NOT WRITE BELOW THIS LINE
Your street address 11 be -/V.
Sewage Permit Number Issued
Remarks
AO 1
The zone is
Building Permit (14-3 /6' Receipt 7
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
JJ
Requested Priceg s7J
Lot Cost ! /
m
r
ELEVATIONS:
Crown of Street
Finish Floor
BasTc:
FAA -Case
0
Sq. Ft
FT66
c)) -)J1
Scale: //' '. v
0
Mortgage C
Power.
PJumber
/e.
ater Co:
L //60-./
Excav t r
r
Legal ,4,
Address:
1
1
1
1
1
1
1
1
�
1
1
1
r
ELEVATIONS:
Crown of Street
Finish Floor
BasTc:
FAA -Case
0
Sq. Ft
FT66
c)) -)J1
Scale: //' '. v
0
Mortgage C
Power.
PJumber
/e.
ater Co:
L //60-./
Excav t r
r
Legal ,4,
Address: