1977, 10-25 Permit App: M3892 Residence• •
Canty of Spokane. Was!gton
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $24.00
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 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 Owner
Architect Address
Engineer Address
Contractor Carl Kappen & Assoc., Inc. Address
Carl Kappen & Assoc., Inc. Address N. 25 Mullan
Suite 304
N. 25 Mullan Suite 304
Legal Description of Property (Give complete description from deed, tax receipt etc.)
Lot 1, Block 3, Eva 2nd Addition .3- a 3 </it
Phone
Phone
Phone
Phone
922-1690
922-1690
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg Zone —/— Fire Zone
Size of Lot 112.27' x 89.51' x 132.56' x 69.22' Sewage System Septic Ceast, Frame
800 IFr., Coney Br.,9A.).00
Stories SE io
Dimensns 24' X 32' Total Sq Ft Valuation
Chimney none Fireplace none
(Kind)Number
Int Wall Finish GYP• bd•
No of Units 1 Bedrooms 2
Rooms 5 Baths—1 Basement Full Foundation Const Concrete
(Full, part, none)
Heat. System Elec. B/Bd Type of Roofing COMP. Ext. Finish Wood
UseofBldg. Single Family Dwelling - Unfinished Basement
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (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.
tn
-1
NORTH RESIDENTI — COMMERCIAL
See Attached
State License No.
OK ow
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
• Heating Permit
NSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify i fo tin submitted is correct and t ere are no other structures located on this property except
as shown.
Ownerext r V � Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
JD77
0-M 7,i r xal DO NOT WRITE BELOW THIS LINE
Your street address will be 4Z/2 7 *,
, n-0-0 eufli /�� 3a The zone is c (?Mqt 2a J c
Sewage Permit Number Issued Building Permit (( Receipt 7036 Issued
Remarks
Form 523 Bldg. Code