1976, 01-13 Permit App: L2434 Residence1i 1
Z(03
Canty of Spokane, Wasligton' 243
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 most 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 onwater 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 thestructure abuts a State Highway, clearance must be obtained pertaining to set -back andiingress
and egress. •
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must
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.
jl APPLICANT FILL IN BELOW T E '/
Name of Owner /I /7fig l-alktC • =7C- Address - 9/e. 4 _ 19 v - Phone
Architect Address // Phone
Engineer Address /� /, /// Phone /�/A/
Contractor/ �n . Address r(a/Ai Y?neS 9a' /b Phone 92 4h `^�
Legal Description of Property (Give complete description from deed, tax receipt etc ) 0 7`74%`/ - 02 / 63
41260
oc, / Li- .3
doc%a.2es o5-1,„6J»r/s�dn)
DESCRIPTIO J�
Size of Lot
/ Fire Z e 3
NOF WO K^: New /se.
'on
�c9. 015t /se. va_Jt 4. %✓mak LLbc2gewage system JOY &- Const. /'Q/%% P!
Stories /// Dimensions
Rooms 6 Baths
Heat. System
Use of Bldg.0
emodel Moving Bld Zon
P �
/57:6.Fr., Conc., Br., tc.) p0
yDxa� a2xa/% �f
Total Sq Ft 7V ValuationCJf �.
Basement l� Foyyndation Const Oe iiPte - Chimney -- Fireplace
I Ilrtpart, none /
Type of R9ofing
�yAC) . gym.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
/-, ///1
017,(Kind) (Nnm4er
Ext Finish (� 00c Int. Wall Finish G�•
pP p / 91//-40 No of Units JBedrooms 3
PLOT PLAN / UJ 6
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify inf919r�ttttion "Totted is correct and there are no other structures ocated on this property except
as shown. / /
Owner or Agent " to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address w111 be 6 2. ,n tot .e2C)o'rl�ti ' The zone is --
Sewage Permit Number Issued
Remarks -
DO NOT WRITE BELOW THIS LINE
Building Permit O 2V.3yReceipt s7GC Issued
L-.-.,, 591 RI,l,. r^, -
P7
KAPPEN CONSTRUCTION, fNC. 410
Spokane, Washington 99216
- Wa 4-0771
V0
4141.1-
PLOT PLAN
/11oMrdaME4r
76.95'
A
Requested
. Lot Cost
Prisre-
dOoo°l
€LEVATIONS:
Crown of Streeti7V21
Finish Floor /q..
`34
/0'
POA/CRErE
21'
40'
/011- 2G
Air . w/9-
1
92.21
2.
•— — _'�?O ✓6R,42W
CiAll °1
,el/
ti
Scale:
2
Basic: /a _202.1 S9. Ft. /Ofi.
FHA Case # : Job a2lo3
Mortgage Co.00/stAseea.
Legal BJJIA1t (or 4_ Coe fi4n/6Sie�.v/5/o.�
cP .
Pea o yy p
SPECIAL INSTRUCTIONS: arcrMATN, rv:7-A/es ur/ j,,5,
64acE Avg
et- €kt a%/i'.KE
Address:
Power to.
Plumb r
T
Excavator
Water Co.
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