1976, 09-20 Permit App: L5507 ResidenceColty of Spokane. Washogton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 JOB #328
APPLICATION FOR LAND USE OR STRUCTURE PERMIT " . �)
GENERAL REQUIREMENTS PERMIT FEE..$._..
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.
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.
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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 N. 2:112 PinpS Road Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor _ Kannpn Construction, Lnr Address N 2312 Phone -928-8660
Legal Description of Property (Give complete description from deed, tax receipt, ac.) erW00d Forest
19~1n a
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone Fire Zone
Size of L 130' X80' Sewage System SPp_t.� L onst. f ramp
{�� �Fr., Conc., Br., etc.)
Stories ZVensions 22' x38' x48' x24' x26' x14' Total Sq. Ft. —1-77 Valuation $44-,S50.00
Rooms _6' BathsBasement fill 1 Foundation Const.. roncrptp Chimney —hri CkFireplace 2
Fu I, part, none) (Kind) (Number
Heat. System elec. f/a Type of Roofing Shakp Ext. FinislWOnd Int. Wall Finish —VP bd.
Use of Bldg. single family dwelling -unfinished basement No. of Units L Bedrooms
garage=528 Sq. ft.
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.
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See Attached
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I he
,;W certify
ert fy ;or
submitted is correct and there are no other structures located on this prt�oerty except
ow J �/ Q —a& � . JI ff
Owner or Age ft Date '
A LAND USE OR STRUCTURE PERMIT JUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be J.The zone is J1 llx,411-
Sewage Permit NumberIssued Building Permi Receipt -77
-h Issued
Remarks /7
F- t11 nia.. , _J_
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
Requested Price `1
Lot Cost 2:2(0, l
PLOT -PLAN ----------
----------------------------------------- -- ---------------------------------------� ELEVATIONS:
Crown of Street
Finish Floor
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87
B,
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01
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/--30 '
_ Scale • /
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F�A- ase #" ;�06-#- � Address:
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