1971, 12-22 Permit App: J1565 Residence �/�
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,;) County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / Orli--------
GENERAL REQUIREMENTS PERMIT FEE_._pl
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
Name of owner Kappen Construction, Inc. Address 13524 E. Sprague Ave_ Phone WA4-0771
Architect Phone Engineer Phone
Contractor Kappen Construction, Inc. Address 13524 E. Sprague Ave. Phone WA4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 65 5-3(3 —0/.5i
Lot AfBlock 2, Opportunity Plat 2, Shannon Acres, Sub-tract 357 and part of 358
S
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot 170' X 68' X 170.16' X 75.5' Sewage System septic tank Stories 1 1/2
Const. frame Dimensions 24 x 40 Total Sq.Ft. 1500 valuation 21 ,350.00
(Frame,concrete,brick,etc.)
Rooms 7 Baths 1 1/Lasement fUl l Foundation Const. concrete Chimney brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System
electric c Type of Roofing comp. Ext. Finish wood Int. Wall Finish gyp• board
Use of Bldg. residence No. of Units 1 Bedrooms 4
Garage or Carport Attached none Private Detatched
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 State License No.
‘ /70
to1 Ind. Ins. Acct. No.
,Ay. . REQUIRED
tie 40
Plumbing Permit
{�1i Ot m Heating Permit
Q p
n^ fl O aAn Sewage Permit
-4
kA
Plans Received
CLr Plans Checked
Plans Returned
a Plans Picked Up
I Plans Mailed
I
SOU TH /7p//bi
I hereby certify information submitted is correct and there are no other structures located on this property excepts
as shown. o/>
Owner or Agent Date I
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT W ITE BELOW THIS LINE
Your street address will be Q 0/ �v I/
�l -��G-z1,'�-� The zone is � _
Sewage Permit Number Issued Building Permit I u Receipt af'•sued
Remarks \
Form 523 Blda. Code
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