1978, 04-06 Permit App: M5718 Residence 7
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4i 7
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $42.00
7 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 i2
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 & Assoc. , 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 927-169n
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 2.3 '�, -44
Lot 5. B1 k. 2 Carter Addi tion
RAU LL JO TN .5J'
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone r Fire Zone .,,,-
Size
,Size of Lot 80' x 148.76' x fin' x 148 89' Sewage System Septic Const. frame
(Fr., Conc., Br., etc.)
Stories -1 Dimensions 24' X 40' X 24' X 22' Total Sq. Ft. l57n Valuation $42,950 00
RoomsBaths2 Basement full Foundation Const. concrete chimney none Fireplace none
(Full, art, none) (Kind) (Number
Heat. System
elec. b/bc ,pe of Roofing comp. Ext. Finish wood Int. Wall Finish gyp bd
Use of Bldg. single family dwelling - unfinished basement No. of Units LBedrooms 3
Idttir C, e,5t4PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
OK ON P/ ff
Ind. Ins. Acct. No.
see attached —..
_RESIDENTIA. -COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
'" a
H N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
aft//0/7 I Eete;cp
SOUTH
I herebyr,$ify informs 'on ubmitted correct a there are no other structures loc ted on this property except
as shown� �/�„ , (A�,,
Owner or Age Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0/k 14040-0 DO NOT WRITE BELOW THIS LINE
Your street address will be ,7..:L ? , ` 44,44. {tr, X, fed . The zone is 44A_../i_./..„:„...,e14-14-4-424.__
Sewage Permit Number Issued Building Permit ;I-57/P Receipt >! y Issued
Remarks
Form 523 Bldg. Code
,
Cliff Cod Kappen & Requested Price 950•
Associates, Inc. Lot Cost
N. 25 Mullan, Suite 304, Spokane, WA 99206
Phone (509) 922-1690 PLOT PLAN
r___________________________ —
ELEVATIONS:
Crown of Street -10d, 7
Finish Floor +-13 .7
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Sq. . Legal
FHA Case # Job -# _
75 Address: 64_
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