1977, 04-06 Permit App: M1575 ResidenceCkntY P of Spokane, Was ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE --- 32100
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 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 Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone 928-8660
Architect Address Phone j
Ingineer Address Phone ti
orntractor 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 25, Block 3, Guthrie's Valley View 5th Addition Parcel # 17553-1325
DESCRIPTION OF WORK: N w X Addition Remodel Moving Bldg. Zone I Fire Zone al
Size of Lot 80'X120F Sewage Systen6entiC tank onst.frame
Por., Conc., Br., etc.)
Stories 1 Dimensions 40x24 Total Sq. Ft. 1042 Valuation 33,950.00
Rooms 7 Baths BasementfUl1 Foundation Const. concrete Chimney none Fireplace 0
I, part, none (Kind) ( umber
elect. comp. wood
Heat. System Type of Roofing Ext. Finish Int. Wall Finish gyp. b
Use of Bldg. single family dwelling, unfinished basement 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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL — COMMERCIAL
see attached plot plan
M
a
t/1
State LIC nse No.
Ind. [is. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb cert'7inrmat' n submitted is correct and there are no other structures located on this property except
as shown.
Aril 6 1977
Owner or fteift Date
A LAND USE OR STRUCTURE PERMIT MUS BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. r
DO NOT WRITE BELOW THIS LINE
Your street address will be 1h 3 aS 14 o O es Rc i The zone is
Sewage Permit Number Issued Building Permi Receipt Issued
Remarks
Form 523 Bldg. Code
l''1-
KAPPEN CONSTRUCTION, INC. Requested Price rl f -t
North 2312 Pines Road Lot Cost
Spokane, Washington 99216
928-8660
PLOT PLAN -.---
-----------------------------------------------------------------------i--ELEVATIONS.------ -7-
Crown
Crown of Streets -'.r7
�lJ Finish Floor -L�—
I-----------------------
-9 1
16'
A10 C P S v0Q
_ Scale_
f a - D / p - --'-�----- � _ _ Le -al]4_.as
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Address
-------------------L-----------------Ir---------------------------------------------------------
Mortgage Co. rn fjeQl� Z 'b rj1.,� ,ti, 1",3 � e :
CY b 5/-rr
P'Tum6er ;Excavator ,
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