1976, 06-17 Permit App: L4644 Residence.4141
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 JOBr #316
APPLICATION FOR LAND USE OR STRUCTURE PERMIT `f
GENERAL REQUIREMENTS PERMIT FEE"""3/**
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
y
1 Name of Owner Kappen Construction, Inc. Address N. 2312 Pines Rd. Phone928-8660
Architect Address Phone
v
Engineer Address Phone
Contractor Kappen Construction, Inc. Address N. 2312 Pines Rd. Phone9%8-8660
335.3 -03O
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Legal Description of Property (Give complete description from deed, tax receipt, etc
Lot 4, Block 3, Forest Meadow Addition
DESCRIPTION OF WORK: New XX Addition Remodel
Size of Lot 176.33' x 130'x126.05x136.81
Moving
Sewage Sys
Stories 1—Dimensions 24x62
Rooms 6 Baths 2Basement full Foundation Const concrete
FulI, part, none)
elec. f. aType of Roofing shake Ext. Finish WOOd
single family with attached 22x24 garage
Heat. System
Use of Bldg.
Bldg. Zone / Fire Zone
-septic onst. frame
' �Ff., Conc.,
L Br., etc.)
Total t
692- valuation 37,050
Chimney basalt
Fireplace 2
(Kind) (Number
Int. Wall Finish gyp-hd.
No. of Units... Bedrooms 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
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-
RESIDENTIL '— COMMERCIAL
see attached plot plan
State License No.
0K 0A/
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submittedi;sjorrect and there are no other structures located on this property except
as shown.
6/17/76
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Owner or Agent
(9�.p0 DO NOT WRITE BELOW THIS LINE
Your street address will be ��(�t , < A 4,._, v _ / �j� i• --Ci The zone isa 4/4C- 4C -GQ...
Sewage Permit Number Issued Building Permit L/ . Receipt / 7 i Issued
Remarks
Fnrm A11 Rldn_ Cedw
K ,PPN-CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price
Lot Cost
,
7 1-71
3
1/0
1-
ELEVATIONS:
Crown of Street d
Finish Floor
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FRA -Case # 10o6 /
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ower Co. ;tafer Co.
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Scale: .so -i"
Legal L07 ,R. oe e
Address: c
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