1973, 02-15 Permit App: K574 Residence County of Spokane, Washington � `s�a API
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BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3� ob #13
GENERAL REQUIREMENTS PERMIT FEE..
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 ownerKappen Construction, Inc. Address South 25 Blake Road Phone WA 4-0771
Architect Phone Engineer Phone
Contractor Kappen Construction, IfCAddress South 25 Blake Road Phone WA
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
pot 9, R1 onk 1 , ALOHA ADDITION 16-1-2-
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone -
Size of Lot �30 x 125 x 56.76' x 133.16' Sewage System sewer Stories '1
Const. frame Dimensions 22 X 22 22 X 26 Total Sq. Ft. 1 ,056 Valuation$23 195o
(Frame,concrete,brick,etc.)
Rooms 6 Baths 1 Basement full Foundation Const. concrete Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. Systemelectric Type of Roofing Com ositioext. Finish wood Int. Wall Finistgypsum bd
Use of Bldg. residence No. of Units 1 Bedrooms 3
❑rage 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
. - oposed 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.
Ind. Ins. Acct. No.
see attached
REQUIRED
Plumbing Permit
in Heating Permit
�^ a Sewage Permit
1 M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information s b tted is correct and there are no other structures located on this property except
as shown.
February 15, 1973
Owner or Agent/ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. 1
DO NO WRITE 7.c-BELOW THIS LINE
Your street address will be 2 / I _/ p-7c-✓, .e zone 1s
44.7
Sewage Permit Number Issued Building Permit 3 9 el/Receipt Issued
Remarks
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Form 523 Bldg. Code
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KAPPEN CONSTRUCTION, INC.
S. 25 Blake
Spokane, Washington 99216 Requested Price
Wa 4-0771 Lot Cost 3,500.00
PLOT PLAN
T ELEVATIONS:
I N Crown of Street-F7.3"1
_i___J : Finish Floor },2,0Y __
it -
1
X11
X)
16
0
k
j",/''r '7::‘
kno
°6;4'.
sewer ane ; S.D: 5:7,
'0
LP
cn
., water line s
0, oc.,
-<
mss,
oc?8' �` \ , g?'
125'
Scale: 1 "=20'
( Basi 1056 T Sq. Ft. 1056 ; Legal Lot 9, Block 1 , Aloha Addition
FHA ase # 1 Job # 13 '--
I Address:
4Mortgage Co. Sherwood & Roberts SPECIAL INSTRUCTIONS:
'ower Co. 1 Water Co. °'
Model
lumber i Ecla�vator
er-Rosa _