1977, 09-20 Permit App: M3410 Residence Cunnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1-t, -
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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
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, ..1, 3,_
p' D
L,
Q
16 4-a qiike 67
00 4 eft,
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OA - 1- ‘' . "
Y fz wa i k. : 1 ,J o,� 'I/
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/8 '
Cor rre.k iaproj 31 y Y
/o9, pj 01111
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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
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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
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