1977, 04-06 Permit App: M1372 ResidenceCftnty of Spokane, Was ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ----7.00
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. 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
irformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
VING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
ghway, 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 Kappen Constr. Inc. Address 2312 N. Pines Rd. 9 Phone 9z8-8660
Architect Address Phone
Engineer Address Phone 9288660
Contractor Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone -
Legal Description of Property (Give complete description from deed, tax receipt, etc.) i
Lot 10. Block 4, Guthrie's Valley View 5th Addition Parcel # 17553-1410 ;
DESCRIPTION OF WORK: New _ X Addition Remodel Moving Bldg. Zone A Fire one 13
Size of Lot 90xl2Ox85xl2O Sewage Systemseptic
ta�onst. game
�Fr., Conc., Br., etc.)
Stories$E—Dimensions 36x24 Total Sq. Ft. 894 Valuation 31 .9.5-0-.00
1 full concrete none
Rooms 5 Baths Basement Foundation Const.. Chimney Fireplace
Fu I, part, none— (Kind) Wmber
Heat. S stemEl ect. BB _Tye of RoQf'n comp. t. Finish wood Int. Wall Finis gyp.
Use of Bldg. al ngle fami I �/ dwe I l 1 ng, un 1 nl s e %semen No. of Units )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.
NORTH RESIDENTIAL — COMMERCIAL State License No.
Ind. Ins. Acct. No.
see attached plot plan
I hereby certify
as shown.
SOUTH
REQUIRED
Plumbing Permit
er Heating Permit
HSewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ion submitted is correct and there are no other structures located on this property except
Kea,oa�,, x44 April 6, 1977
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
� DO NOT WRITE BELOW THIS LINE
Your street address will be I The zone is I '
Sewage Permit Number Issued Building Permit - "'"1 Receipt Issue
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Reques ted Price
Lot Cost
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ELEVATIONS:
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Address:
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