1977, 04-06 Permit App: M1631 Residencetry of Spokane, WasI ,ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 27.00
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 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 47235.
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.
1 ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. IJ
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. 99206 Phone 928-8660,
Architect Address Phone
Engineer Address Phone
contractor Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 %lone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt etc I
Lot 22, Block 3, Guthrie's Valley View 5th Addition Parcel # 17553-1322
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Tyne ! Firene J
Size of Lot
801)(120'Sewage System
septic tan
onst. t'rame
Fr., Conc.. Br., etc.
Stories $E Dimensions 24x36 Total Sq Ft 894 Valuation31 ,950.00
Rooms _5— Baths 1 Basement f1111 Foundation Const concrete Chimney none Fireplace 0
(Full, part, noneif
(Kind) (Number
Heat. System Elect. BB Type of Roofing comp. Ext Finish wood Int. Wall Fini 9YP• Da'
Use of Bldg. single family dwelling, unfinished basement No of Units _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-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
See attached plot plan
SOUTH
State License No.
Oi<
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
w Heating Permit
ta Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify inforpltion submitted is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown. n //
April 6, 1977
1 DO NOT WRITE BELOW THIS LINE
Your street address will be / /13 /J ' \y ^` c4LcfYt-
Sewage Permit Number Issued
Remarks
Building Permit
The zone is
Receipt�Issued
' Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
,Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price 3 i g 5U
Lot Cost iftYoo
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Nixon Avenue -
mortgage
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ELEVATIONS: r1
Crown of Street -/7)
Finish Floor +4y-
it
Scale: //1=-461
basic: gclq-S
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Sq.
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Legal.tm.aa &(J,
Address:
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Mortgage Co.
.Power Co. ;p -der Co"
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