1977, 10-25 Permit App: M3891 Residence0 r
Anty of Spokane, Wasisgton
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
�y APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS - PERMIT FEE. -.$24,00
PERMIT REQUIRED. A land use or at recture permit is rep. ired by County Meet of I. to erect a hu i If fee or structure of any,
kind or alter may building or structure already erected, or to change a land use. Construction moat dopier. with the
Spokane County Building Code and Zoning Ordinance. C... truction is subject to Inspection.
WATER. Water supply most be approved by the County ..it State Health Departments. Where fork on water connectlods disturbs
the surface, shoulders or ditches of County Ronda, permissio. meat be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required is .11 cases by County Resoluti..e Nos. 45-133 and 47.235.
SET -RACK FROM PROPERTY LINES. In most zones Bud 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 at torture abuts a State Highway, clearance must be ohim i.ed pertaining to set -back add ingress
.ad egress.
COUNTY ROADS. Work on street right-of-way may not be performed will staked by County Road Department and work Out be
performed in accordance with stake.. Points of Inge... and egress must he approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move e. existing building. When a building is moved on a County or State
Highway, clearance most be obtained from the County Engineer ..d/.r 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
N...ofOwmerCarl Kappen & Assoc., Inc. Address N. 25 Mullan Suite 304 phtx,e 922-1690
Architect Address Phone
Engineer Address Phone
contra.tor Carl Kappen &Assoc., Inc. Address N. 25 Mullan Suite 304 Phone 922-1690
Legal Description of Property IGive complete description from deed, tax receipt, etc.)
Lot 3 Block 3 Eva 2nd Addition T _7 - #f
DESCRIPTION OF WORK: New X Addition
See
Remodel Moving
Bldg. Zone Fire Zone �3
Bien of Let 132.56' x 82.00'
stories SE Dimensions 32' x 24'
Sewage System
Total Sq.
Septi c we.t. Frame
f Fr.. Connp Br., etc.I
Ft 800 v.I.atioA31,950.00
Roams r Baha � Basemwnt Fu 1
Fu I, pert. none
Heat. SystemElec. B/Bd. Type of Roofing
Foundation const. Concrete
Comp. Ext. Finish Wood
Chimney ane Fireplace none
(Kind) (Number
Int Wall Finish Gyp. Bd.
Use of Bldg. Single Family Dwelling
- Unfinished Basement
No. of units Bud,...2
PLOT PLAN
Draw sketch with di ... sions showing: (1)
property It...; (2) street or road locations; (3) location of existing and
prnpeaed buildings; (4) distance to property
lines and streets; (5) dimensions of buildings;
(6) location of sewage sys-
tem and water supply It....
NORTH
RESIDENT191.—COMMERCIAL
State License No.
—�-
1X Gni -/,—
< -
See Attached
f
on
ti
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked
Pians Malled
SOUTH
I hereby certify information submitted is correct and there are po other structures located on this property except
as shown.
Owner or Agent / /
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOTA PERMIT. ,
Tour street address will
Sewage Permit Number
Remarks
Form 523 Bldg. Code
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS
��Ill 1L The zone to
Building Permit Receipt 7036 Iesued
Carl Kappen & Associates, a.
E. 9212 Montgomery, Suite
%
Requested Price 131 9 SU '
Spokane, Wash. 99206 922-1690
Lot Cost n G,
PLOT PLAN
ryB' 8� Epp'
ELEVATIONS:
Crown of Street
Finish Floor
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