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1977, 09-20 Permit App: M3410 Residence Cunnty of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 v APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1-t, - di _f____-- REQUIREMENTS PERMIT FEE 4-3K00 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 whit are enforceableth�ivil action. County Officials can not bring action to enforce covenants or dedications. Qom/ APPLICANT FILL IN BELOW THIS LINE Name of Owner Address E. 9212 Montgomery, Suite 6Qj,one 928-1161 Architect Address Phone Engineer Address Phone Contractor Carl Kappen & Associates, Inc. Address E. 9212 Montgomery, Suite 442one 922-1690 Legal Description of Property (Give complete description from deed, tax receipt, etc.) Lot 1, Block 7, Midllome Addition _1_-3 -,2.5--4. DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone ✓ Fire Zone Size of Lot 130.00' x 90.00' x 109.89' x 69.89' Sewage System Sewer onst. Frame /�� (Fr., Conc , Br., etc.) 1042 Valuation39,950.00 Stories 1 Dimensions 24' X 40' X 22' X 24' Total Sq. Ft./--(1 Rooms 6 Baths 2 Basement Full Foundation Const. Concrete Chimney none Fireplace none Full, part, none) (Kind) (Number Heat. System Elec. bbd Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish gyp• bd Use of Bldg. Single Family Dwelling - Unfinished Basement No. of Units 1 Bedrooms 3 PLOT PLAN Draw sketch with dimensions showing: (1) property lilies; (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. Ind. Ins. Acct. No. See Attached REQUIRED Plumbing Permit m Heating Permit in ro N N Sewage Permit -4 -1 Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH I hereby certify information submitted is correct an/there are o other structures located on this property except as shown. - lJ ..P, , .,= . J id. App„ /2 2 0 Owner I Agent D e A LAND USE OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. "7 IS NOTA PERMIT. DO NOT WRITE BELOW THIS LINE in 971v 3 3�/ J'Yo(urstreet address will be lyet - 1 61 - Receipt f) � Sewage Permit Number Issued Building Permit � The zone is„��(��_�..Lt-3tiC-.,�.t14.. !3 2, Issued Remarks CJd 7 3 , Form 523 Bldg. Code Carl Kappen & Associates, Inc. E. 9212 Montgomery, Suite 402 Requested Price 3 91`,3,S'0 .. Spokane, Washington 99206 9224,1690 . Lot Cost .g 7; 6I ;o \ PLOT PLAN ELEVATIONS: Crown of Street-#j 64. - - Finish Floor t , 2 g a k------ Z ,_ 6 1.a . no t'7 41 ' 01 4_11 Q.AIFr g6 , ..1, 3,_ p' D L, Q 16 4-a qiike 67 00 4 eft, \ 0.% I OA - 1- ‘' . " Y fz wa i k. : 1 ,J o,� 'I/ \\. 2>I t.bottre4.4..- p0.r k-,tti PI a5 i �%, R 10 '-,.... c. I /8 ' Cor rre.k iaproj 31 y Y /o9, pj 01111 , . w, I .6 � V cam'. Scale: / _, ,.) h • Basic• � Sq. rt. /04-..-2_ - 476.6.1 ' Ad Legal D� i r, , ' , 1 FaA' base ; Job 7# L � .. � �11�r,�,��_.� d L fp Address: I I ki4 73 1 r Mortgage Co.fict c r-rtc. ,r 4_ fl 16 k-i-- ..._ bch-,-, — b -1-A power Co. ; water Co. LWa J v L 'r .r4 /24�i m6er ; Excavator 1. L .