1971, 02-10 Permit App: I3431 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 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 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
Job #138
Name of Owner Carl L. Kappen Address N. 122 University Road Phone WA4-0771
Architect PhPhone
Kappen Construction N.
Addressngineer N. 122 University Road Phone WA4-0771
Contractor
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 1, Block 1, Gillingham's Subdivision of Tract 70 of Opportunity
7,
DESCRIPTION OF WORK: New X
Addition Remodel Moving
Bldg. Zone
septic
1040. Valuation 25,250.00
Chimney brick Fireplace 2
(Kind) (Number)
wood Int. Wall Finish gyp. bd.
Size of Lot 90.67' x 135' Sewage System
Const. frame Dimensions 60x24 Total Sq. Ft.
(Frame, concrete, brick, etc.)
Rooms 7 Baths 2 Basement full Foundation Const concrete
(Full, part, none)
Heat. Systemelec. Type of Roofing Comp Ext Finish
Use of Bldg. living residence
Garage or Carport Attached
Fire Zone
Stories 11
garage attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
No. of Units 1 Bedrooms 4
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereby certify informat'on submitted is correct and there are no other
as shown. 4�
Owner or Agent
A LAND USE OR STRUCT
THIST4OTA PERMIT.
Your street address will be
Sewage Permit Number
Remarks
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
RE PER IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
i1DO NOT BELOW THIS LINE
The zone is
Receipt
Building Permit
Form 523 Bldg. Code