1977, 04-04 Permit App: M0622 ResidenceCCdnty of Spokane, WasI gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE 46.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure o
kind or alter any building or structure already erected, or to change a land use. Construction must conform wit
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
tte 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 Construction, Inc. Address 2312 N. Pines Rd. 99206 Phone 928-8660
Architect __. Address Phone
Engineer Address Phone
contractor Kappen Construction, Inc_ -Address 2317 N. Pines Rd. 99206 Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt etc24542-0418
Lot 18, Block 4, Rotchford Acre Tracts Parcel #
btnbe
DESCRIPTION ICIE r w p diti on Remodel MovingBldgZone Fire Zone
Sizeiof Lot I J X b��Xl X U� -
sewage Svsrnm septic tangy. frame
ons[.
part, enonal-
1
Fr., teonc., Bo, etc.l
Total Sck Et, 47-1-6--71 fLiCrhInineyf NO llV Q �e ,950.00
^,nor pp ( umber
Heat. System elect. FA Type of Roofing shake Ext Finish wood Int Wall Finis gyp. b.
Use of Bldg. single family residence•
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,
m
N
H
NORTH
/RESIDEIDE 3. — COMMERCIAL
see attached plot plan
SOUTH
State License No.
Of( l)A/ FJ-C.E
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
�w Heating Permit
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
April 4, 1977
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7111 f DO NOT WRITE BELOW THIS LINE
Your street address will be (/ 2 3 SiCI , ,JWA'jtte.Ai ,ti/,.i.LC.-44. , The zone Isc_trf-Lc.cc_ .tct/e2 `eW-
Sewage Permit Number Issued Building Permit mg y Y Receipt / Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
es-L,cAd J 1. r2� -
Requested
Lot Cost
CC
loss •
Price <_y ;
ELEVATIONS:
Crown of Street74/
Finish Floor t7i —'
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•
Basic:
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Mortgage Co. GI_
Powe- Co.
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Prxcavtorj,„51; „4
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Legal Lo{r/, 4s/AE. /i/
Address:
Scale: /"\3�'
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