1978, 04-06 Permit App: M5687 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 132,04
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 mast conform with the
�. Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
3 WATER. Water supply must be approved by the County and State Health Departments. Where work on eater 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 Carl Kappen & Assoc.. Inc. Address N. 25 Mullan. Suite 304 Phone 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kapppn & Assoc . Tnr. Address N. 25 Mullan. Suite 304 Phone 922-1690
073 —.9.6--4,4
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Parcel _Number
Lot 2, Blk. 1, Carter Addition
/?/UJ UJ1c>rA' -Sc'
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 80.46' x 135.00' x 80.00' x 127.84'
Moving Bld . Zone .._1_ Fire one
Sewage System Septic onst rame
Total Sq Ft. Valuation
1004 (Fr., conn..b6e,V5)0.00
Chimney 1Ki noel; e Fireplace(�u none
Int Wall Finiyh gyp• a0ter3
No of Units LBedrooms
Stories 1 Dimensions 24' x 40'
Rooms 6 Batha1 Basement Ful 1 Foundation Const concrete
Fu 1, part, none)
Heat. System elec. b/bd'Type of Roofing comp. Ext Finish wood
Use of Bldg. 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.
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NORTH
see attached
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State License No.
a /-( 4 A/ F/LS
Ind. Ins. Acct. No.
ENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
hereby certify inf tion sub 'edo is c rectAand there are no other structures ocated on this property except
dile( 6/5
Owner or ant Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Ow. ]4
DO NOT WRITE BELOW THIS LINE
a
Tour street address will be /Sa2 / 3 (' atiaM The zone isj
Sewage Permit Number Issued Building Permit Pi-SLR/Receipt /141 Issued
Remarks
Form 523 Bldg. Code
T
Carl Kappen &
Associates, Inc.
N. 25 Mullan, Suite 304, Spokane, WA 99206
Phone (509) 922-1690
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40'
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40'
PLOT PLAN
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Requested Price 34, 7SV. •
Lot Cost
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B�oic : lie_/ 1 Sq. Ft. /U 04 Legal
• FHA Case # Job # a
Mortgage Co.
4:30Wfiat 1 water G Q
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...Plumber r I Excava
64—
ELEVATIONS. ,r
Crown of Street 99
Finish Floor t
Scale: / r,ao'
Z2 f -ci--23/LC.- 1 - rt�re _A/4i o /l
e't,
Address:1 call
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