1977, 04-06 Permit App: M1236 ResidenceC$tY P of Spokane, Was ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ....... 4.00
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.
NATER. Nater 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 Kap pen Constr. Inc. Address 2-112 N. Pines Rd 99206— Phone 922-260
Architect Address Phone
Engineer Address Phone - h
Contractor Kappen Cons tr. Inc- Address 2_312 N. Pines Rd- 99206 Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 15. Block 3, Guthrie's Valley View lith Addition Parcel # 17553-1315
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zone —� Fire Zone
—
Size of Lot 80'x12% Sewage SysterSeptir tankConst. frame
Fr., Conc., Br., etc.)
Stories SE Dimensions 32x24 Total Sq. Ft. POO Valuation 30,050T00 -
Rooms 5 Baths Basement ffuFoundation Const. concrete Chimney nnng Fireplace
Fu I, part, none (Kind) (Number
-Heat. System Elect. BB Type of Roofing comp. Ext. Finish wood Int. Wall Finish gam. hd-
Use of Bldg. single family dwelling, unfinished basement No. of Units L Bedrooms 2
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-
em and water supply lines.
NORTH RESIDENTIAL —COMMERCIAL State Licens No.
Ind. Ins. Acct. No.
see attached
(A
1
SOUTH
REQUIRED
Plumbing Permit
M Heating Permit
iA
Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here certify igforma ion submitted is correct and there are no other structures located on this property except
as shown. // ,
Uwner of Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Irl Your street address
Sewage Permit Number
Remarks
Farm 523 81do. Code
DO NOT WRITE BELOW THIS LINE
1 be 's The zone
Issued Building Permit M Receipt=
Iss
,3
KAPPEN CONSTRUCTION, INC. Requested Price - l'�,''
North 2312 Pines Road Lot Cost
Spokane, Washington 99216
928-8660
PLOT PLAN
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P um6 f ; Excavatoj� i
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