1978, 08-24 Permit App: N0273 ResidenceJob #7
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $45.00
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 most 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
Name of Owner Carl Kappen & AssQC. ; Inc. Address N. 25 Mullan, Suite 304 Phone . 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Assoc.. Inc. Address N_ 25 Mullan, Suite 304 Phone 922-1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number/
Lot 6, Block 1 - Bittner Addition
ROADWAY R!W MOTH 50'
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 79' x 175'
Stories SE Dimensions 36' X 24' r 5'1(8/
Rooms 5 Baths1 Basement ful 1 Foundation Const concrete
Ful, part, none)
el ec. b/b(}ype of Roofing comp. Ext. Finish wood
single family dwelling - unfinished basement
Moving
Sewage System se tic const, frame
r., Conc., 39,90.00
Total Sq. Ft Valuation
Chimney none Fireplace(Numbe
r none
(Kind)
Int. Wall Finish qYp • bd .
No. of Units 1 Bedrooms 2
Bldg. Zone / Fire Zone 3
Heat. System
Use of Bldg.
beck frtOOe tr.�
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
See Attached
COMMERCIAL
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
certify 12 i Tormati•. 'mitted is cor ect and there are no other struct es located on this property except
U=� /?F
Owner r A at Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0,4t, iit4) DO NOT WRITE BELOW THIS LINE
Your street address will be41F,T
Sewage Permit Number Issued
Remarks
Building Permit
The zone is, `� 4.& /
ceipt JS2 Issued
Form 523 Bldg. Code
Carl ppen &
Associates, Inc.
N. 25 Mullan, Suite 304, Spokane, WA 99206
Phone (509) 922-1690
tt---------------------------------
PLOT PLAN
Requested Price
Lot Cost
Basic:
FHA Case #
Mortgage Co.
Power Co.
T --
Sq. Ft.96e Legal
Job #
b1C(tJl----_6
1�later Co. ' -
sZt-eirtake -LLt
Excavat r
Address:
„
ELEVATIONS: ,/
Crown of Street !�
Finish Floor -I/ 7/
nor
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