1978, 04-06 Permit App: M5695 Residencefog
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 mast 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 aAh'
$24.00
NameofOwiier Carl Kappen & Assoc., Inc. Address N. 25 Mullan, Suite 304 phone 922-1690
Architect Address Phone -
Engineer Address Phone
Contractor Carl Kappen & Assoc., Inc. Address N. 25 Mullan, Suite 304 O1B 922-1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number c;J —a5-- d%%
Lot 3, Bik. 1, Carter Addition
/Val wiorld So
DESCRIPTION OF WORK: New ____X__ Addition Remodel
Size of Lotx 127.R4' x 80.00' x 115 72'
SE r/' °'t" 24' x 32'
Stories _Dimensions
Roans 5 Baths 1 Basement ful 1 Foundation Const concrete
(Full, part, none.
Heat. System el ec. b/bdType of Roofing comp. Ext Finish wood
Use of Bldg. single family dwelling - unfinished basement
Moving Bldg. Zone _i__— Fire Zone 3
Sewage System sept i r Const, frame
800 1Fr., Conc.,1195;W 0, 00
Total Sq Ft Valuation
Chimney (Ko ae Fireplace unone
nter
Int Wall Finish gyp• ba.
No of UnitsBedrooms 2
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.
NORTH
see attached
SOUTH
State License No.
6/1 aN PACS'
Ind. Ins. Acct. No.
Plumbing Permit
▪ Heating Permit
To • Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify info, tion submitt s correct and t ere are no other structures
Owner or ent Dat▪ e
orated on this property except r
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
d- 114,4, 17) DO NOT WRITE BELOW THIS LINE
Your street address will be /S21 7 e.. ,QB,..7.Q,,tb(.."y0,
Building Permit jt lPS(o�Receipt if O y Issued
Remarks
Sewage Permit Number Issued
The zone is
Form 523 Bldg. Code
fr
Carl Kappen &
Associates, Inc.
N. 25 Mullen, Suite 304, Spokane, WA 99206
Phone (509) 922-1690
PLOT PLAN
Requested Price
Lot Cost
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Sq. Ft. - ---- ---.
FHA Case # I Job
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Mortgage Co. (On A l re,
Water Co.
?Powe,G jecki
14j l�lm Ye
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i Excav r
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ELEVATIONS:
IFrown ofStreet t
Finish Floor or /
•
Scale: /
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Legal -bit
I ��- _adv. - _-A -0n._
Address: 5"2 7 Ac(
bdr.x, , ) bcCH. , (,l A (s ( ed
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