1976, 01-13 Permit App: L2455 ResidenceCanty of Spokane. Wasltgton #076.,
%
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMII9
GENERAL REQUIREMENTS PERMIT FEE c7/
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 onwater 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 47235.
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 anctiingress
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.
TRESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the 1 ud
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedication.
�,� ����`,•7PPPLLII.�ANT FILL IN BELOW THIS
Name of Owner Jer,St _1i!/L�YI y rddress
Architect Address
Engineer
Contractor
PhoneEZI-.1—j
Phone
Address Address C73/07 N, �',Aes ”070(1.Phone ne gad' 460
Legal Descriptiontiof Progerty (Gityj/ompl e�dgscription from:c151 tax receipt etc 1
/A 1- f t d cl� �( r�jJ 4 o d/% /7 -Cies lG 1%
P
DESCRIPTION OF WORK: New Additio�g Remodel
Size of Lot AR 9X X /5f� /577
oge5S3- olrt
Moving Bld Zoe —L—. Fire• —train
e
Sewage System �L onst. • rain ��
(gip J FF. Conc.. tc 1 ea
/y Total Sq Ft /77/ Valuation ..9ttb. S
Fou dation Const L'�nr-te Chimney �— Fireplace
/^1 ,/'� J (Kind) Oryi(Nu ee
Ext. Finish fod4 int Wall Finis �rJ
1/ Asx
Stories aDimensions
Rooms, Baths / Basement
(/ (F I art, none,
Heat. System09 +� Type f Roofin
Use of Bldg. S/ %iq/p Q/%Ii�
riniaireug No of Units 7 Bedrooms
ons; (3) location of existing and
dings; (6) location of sewage sys-
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road loc
proposed buildings; (4) distance to property lines and streets; (5) dimensions of bui
tem and water supply lines.
NORTH'
RESIDENTIAL — COMMERCIAL
47 La ciec/
(\ I hereby certi
as -s Own.
.371
Owner or Ag
SOUTH
tion_su
nt
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ted is correct and there are no other structures locayed on tpis property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Yohr street address will be
,/, .aoo? a)
Sewage Permit Number Issued
Remarks
Building P
The zone
Receipt / Issued
SS
Form 523\ Bldg. Code
KAPPEN CONSAUCTION, INC.
N.23/2 *I) n e5
Spokane, Washington
Tae -241 00
$9a
PLOT PLAN
1
1
1
1
Requested Price «''6, 96-0
Lot Cost 7'tf,�co
T
ELEVATIONS: 'r
Crown of Street \a y,
Finish Floors/9,(/ .
I
Basic: fl/_5 Sg. Ft. (9/
FHA Cease •# ,lob # -Legal Lor —0 [.oc.4 0. Sh'An/Won/ /9-e.e
i Address: tj �pQ? L.60QcitrAf
r
r•1
Mortgage Co. de,,,„yadee
Power Co: 1 Water Co.
Mode kit) ; 1)7odeAro
Plumber 1 Excavator
_gty421y GosH89uCh4
SPECIAL INSTRUCTIONS: a 6iEJ2M� / B.97-,9
FULL sSAs&-Ai NT