1977, 04-04 Permit App: M0623 Residence a
. Cc my of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 46.00 iPERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure ofany
f 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.
ATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
e surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
S AGE 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 Kappen Constr. Inco Address 2312 N. Pines Rd. 99206 Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Constr. Inco Address 2312 N. Pines Rd. 99206Phone 928-8660
Legal Description of Property (Give co tete de cripti from deed, tax rec t, etc )
Lot 114, Block , Rotchtord Acre °Tracts parcel # 24543-0414
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
Siz:i o, of 163'x312'x139'x307' Sewage System septic tanonst frame
s Fr., Conc. Br., ,)
St. -
tpsions 48'138'122'x26°x24' Total Sq. Ft. 1776 Valuation $44,950.00
Rooms 6 Baths 2 Basement full Foundation Const. concrete Chimney brick Fireplace 1
(Full, part, none) (Kind) (�N{J�mber
Heat. Systemelect. FA Type of Roofing shake Ext. Finish wood Int. Wall Fini h gyp° DQ.
Use of Bldg. single family residence 3
a
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 RESIDENT L —COMMERCIAL State License No.
Ind. Ins. Acct. No.
See attached plot plan.
REQUIRED
Plumbing Permit
in Heating Permit
in
in N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby c ' ify kg format" u itted is corre t and there are no other structures located on this property except
as shown.
(, 71C2_-,1,--✓ April 4, 1977
Owner or Agen Date
+
A LAND USE OR STRUCTURE PERMIT MUS BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
'� 6-4,t, _ e e) DO NOT WRITE BELOW THIS LINE
��k /' 7
Your street address will be / 7 / A iZ��� i-/i -, The zone is{ a U .G.L.'-V.
Sews a Permit Number Issued Building Permit 642_3 Receipt F /46-, Issued
Re ks .
Form 523 Bldg. Code
ti KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road Requested Price qii-q ---1)
Spokane, Washington 99216 Lot CostLp�, �-a 'z'
928-8660
PLOT PLAN
/•n /A0� A i ELEVATIONS:
ap
Crown of Streed -
Finish Floors L
1.,___________..,_____
I 11
1 •
1
i
• I
.. . 1
1
N
,
Pg 4111*-
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(111) - - - -
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ir
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Scale: / `_
Basic: : Sq. Ft. 301---
' ' Legal
FAA-Ca-se , 306 F. f. 5� /3//c. ly �C �� - =`ey_uc -
Address*
Mortgage Co. _I /' 1
T. W� $i'-e..,- •
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