1976, 01-27 Permit App: L2510 ResidenceCitify of Spokane. Washillgton
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 lana
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 Kippen Construction, Inc_ Address 2312 N. Pines Road Phone 91.8-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction, Inc_ Address 2317 N_ Pines Road Phone 928-8660 i—
Legal Description of Property (Give complete description from deed, tax receipt, etc
Lot 5, Block 1, 13th Arirition to Veradale 4tillitieA-
fhfS
i5/5yZ2-3)06 /
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone
4 Size of Lot _ 72.52 x 143.23 x 90 x 160.02
Sewage System Septic (Fr., Conc., Bre, etc.)
Total Sq. Ft 1042 Valuation $28,';50.00
Rooms Baths Z Basement full Foundation Const rnnr-rete Chimney --- Fireplace "--
(Full, part, none) (Kind) (Number
Heat. System } riC Type of Roofingcomp Ext. Finish wood Int. Wall Finish qyp bd
Use of Bldg.S�O�
F amily Residence No. of Units 1 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.
Stories Dimensions 40x24
m
U1
NORTH
RESIDENTIAL
— COMMERCIAL
See Attached Plot Plan
SOUTH
m
State Ll'cense No.
kik
Ind. /dns. Acct. No.
REQUIRED
Plumbing Permit
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
as shown.
°�
Owner or Agent
January 27, 1976
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
E. N/R1
Sewage Permit Number _ Issued
lr1'! / / /p119 ?)i
Remarks
Building Permi
The zone i
;140 Receipt l Issued
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
N. 2312 -Pines Road
Spokane, Washington 99206
928 8660
a
PLOT PLAN
N1l55i°NI #VENUE
RequestedriVe 34 9Sa
Lot Cost , SAO,
T
ELEVATIONS:
Crown of Street
Finish Floor t , _
Scale: / /i=.20
Basic_/p54/_/55: Sg. Ft. foga
FHA Case # ; Job #
4 7G'
Mortgage Co. �aMME,�cr
Pwer C : Water Co.
rv
1.0044 ` D:4T
Plumber : Excavator
Legal /or .5; BLoCle Aa ,44.),),"7-, ;A/
To VER -i2 LE
oo,.:7a✓
Address: �c
.11/4,5 ion/
SPECIAL INSTRUCTIONS: 3 d E2),e, oM,
U/as T,9iks uT/L/ ry �GIGC
d 9T,y,
S i9 SEN/E4/7-
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