1977, 04-06 Permit App: M1365 ReisdenceCanty of Spokane. Wasllgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 32.00
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.
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. 99206Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor KappPn (nnstr_ Inc_ Address 2312 N. Pines Rd. 99206 Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Int 28, Rlnck 4, Guthrie's Valley View 5th Addition Parcel # 17553-1428
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zone Fire Zone `7
Size of Lot 63.90x118.90x132.38x20x120 (Irregular) sewage systemseptic tank onst. frame
1004 (Fr., Conc., Br., )
1 40x24 32,050.00
Stories Dimensions Total Sq. Ft Valuation
concrete none 0
Rooms Baths 1 Basement full Foundation Const Chimney Fireplace
(Full, part, none) (Kind)
(Number
Heat. System Elect. BB Type of Roofing comp. Ext. Finish wood Int. Wall Fini h gyp' Da -
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
N
NORTH
RESIDENTIAL COMMERCIAL
see attached plot plan
SOUTH
State License No.
Oh
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
• Sewage Permit
- 1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify i formation submitted is correct and there are no other structures located on this property except
as shown. /}
664114)
Owner or Agent
April 6, 1977
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
c5 VA
i
DO NOT WRITE BELOW THIS LINE
, The zone is S l" R
Your street address will be � I 6139.5" �/�,jQ-1 y�
Sewage Permit Number Issued Building Permit (1 5 Receipt E_ Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
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Requested Price &/6-5-",
Lot Cost
1_
ELEVATIONS: 4
Crown of Street Y-77
Finish Floor 77:19-5
Scale:
Basic:
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KMortgage Co.
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Address: