1976, 01-13 Permit App: L2433 Residence• • z(0y
Canty of Spokane. Wasl!gton a6'
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT --7-7-110
GENERAL REQUIREMENTS PERMIT FEE 3:72'
PERMIT REQUIRED. A land use or structure permit is requiredby 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 ;egress
and egress. 2;
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
Architect
Engineer
Contractor
Pf,& a;12.5/7 ne r
Address [r1G�L�' // Phone
Address Phone
Address _ (. .11 r 9c , Phone 9°71
r � C
Phone
6 764141— n2.//)
Legal Description of Property (Give complete description from deed, tax receipt etc
locK/ ,1o1 a
chret es \.7„ez s/oft)
DESCRIPTION OF WORK:rNew Addition
Size of Lot 4.,6X if 42
Stories // Dimensions zid X
Rooms (p Baths _i___ Basement Foundation Const Wil'/
(Fut rt, none
Heat. System (led ype of Roofing
Use of Bldg. Si - �'42/22,
Remodel
Moving BI g. Z ? Fire Zane
Sewage System a/, Q..'Const. / 72 Q%
/0, (Fr., Conc., Br., et ) !IJ
r2
Total Sq Ft �L.11SLV Valuation ' TSO.
Chimney Fireplace
(Kind) (Nur
Int Wall Finish
v/2c.e
Med
Ext Finis
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.
Noo of Units .Bear
NORTH RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
-I
1 -
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert in or submitted is correct and there are no other structures loca
as shown.ed n this property except
irta�/
Owner or A en Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
&-44) k 444-0 DO NOT WRITE -BELOW THIS LINE
Your street address will be b /} �o� j.pe Oq.p 1)� The zone 1s
✓1f Y?3 Receipt 14 I ued
Remarks
Sewage Permit Number Issued
Building Bbrmlt
c..,,., S91 RI,1,, C,..ie
'KAPPEN CONSTRUCTION, INC.
2312 N. Pines Road
Spokane, Washington 99206
928-8660
PLOT PLAN
Requested Prjce $027, 950
Lot Cost g3aam2
(10rtt2omer`�
r—
A vett/Kt-, i
N '
i
ELEVATTORS:
Crown of Street fn/f9
Finish Floor +'9 -
Basic:/QQS/,e; SyFt. /l1P'zi_ L&gal-2LoCK 1, Lor 2.
FHA Case # Job
.1
•
Mortgage Co.
Power Co.• Water Co.
•4
:Plumber 1 Excavator
.%s*.vernu6/1"
Scale: i"= 20'
CoCf+RANE5 Su8DuliSiDiJ
=16`} Andress: r ?g1 MoNisoocnSKy__AYACIL
SPECIAL INSTRUCTIONS: 3 u&radrm /.631rN ufsra,Asani/ry,
o x:co/6,./ r 6A846 foo,
w.4'ctec