1976, 08-19 Permit App: L5151 Residence � . _ ., 3
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f
GENERAL REQUIREMENTS PERMIT FEE$46,00 1
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 and
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicatioi%s.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner KAPPEN CONSTR., INC. Address N. 2312 Pines Road 9% i(' Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor KAPPFN CONSTR., INC. Address N. 2312 Pines Roarlql,)/.� Phone q2R-2660
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Block 5, Lot 11 Rotchford
Acre Tracts
Parcel #24543-0511
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone _/ Fire Zone ."3
Size of Lot 138.70'X300'X129.65'-35'X299.61' Sewage System septic Const. frame
C
(Fr. , onc., Br., etc.)
Stories 2 Dimensions 24'x26'x14'x24'x38'x48' Total Sq. Ft. 1776 Valuation
Rooms 6 Baths 2 Basement _,fill l Foundation Const. concrete Chimney brick Fireplace brick
(Full, part, none) (Kind) iNumber
Heat. System electric Type of Roofing shake Ext. Finish wood Int. Wall Finish qYp• bd•
Use of Bldg. single family dwelling - unfinished basement No. of Units I.Bedrooms 3
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.
OK oA/ Fi.c-E
Ind. Ins. Acct. No.
See attached plot plan
✓6, REQUIRED
--,.A.-.2.-,t- /c;? V r Plumbing Permit
tm pa...,C4- VILs- .- m Heating Permit
., /� N Sewage Permit
mi
/ 176
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here certify informatio 'submitted is correct and there are no other structu s located on this property except
as shown.
-tom c e.-1
Owner or Agefit Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
1_.:9-1,L, ; i DO NOT WRITE BELOW THIS LINE
Your street address will be ,r1 /� �- n e
j l ,KJ• ./R,,G�f147 _4c-, ThThe zone isa4i►�-(-4t �41-t J.
Sewage Permit Number Issued wilding Permit Receipt2(cC�1" Issued s�i
Remarks ,
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Form 523 Bldg. Code
;wur Lri Laic rines Koaa Requested Price
Spokane, Washington 99216 Lot Cost
928-8660
PLOT PLAN A.
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