1978, 04-06 Permit App: M5716 Residencev
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $32.00
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 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 Owner Carl Kappen & Assoc.. Inc.Address N. 25 Mullan, Suite 304 Phone
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Assoc., Inc 'Address N. 25 Mullan, Suite 304 Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number a- 1 2,5 '` 9
922-1690
922-1690
Lot 6, Blk. 2, Carter Addition
f77%uf1i v t G?TJ l T O I
DESCRIPTION OF WORK: New X Addition Remodel
x 72.76' x 148.89' x 75.93'
Stories 41- Dimensions 26' X 40' X 24' X 40'
Rooms 7 Baths 2 Basement fUl 1 Foundation Const concrete
(Full, part, nonel
elec. b/b4gpe of Roofing comp. Ext. Finish wood
Size of Lot
Moving Bldg. Zone
Sewage System septi c
Total Sq. Ft 1036
Heat. System
Use of Bldg.
single family dwelling - unfinished basement
Chimney
Fire Zonell
Const. frame
(Fr., Conc.,Jar-$44 $4e4,950.00
Valuation
none Fireplace none
(Kind) (Nbunber
Int. Wall Finish gyp' QQ•
No. of Units) Bedrooms 3
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
I hereby. tify informaty4n submitted i correit2 there
as shown. A
State License No.
JK c2iv ,%/L,E
Ind. Ins. Acct. No.
RESIDENTIA — COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
Sewage Permit
are no other
Owner or Age
A LAND USE OR STRUCTUR'PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
W/0/7
structures 1 ated on this property except
V '‘'
Date
CONSTRUCTION COMMENCES.
Your street address will be /6-.2. -2 D ,
eZera L,T,Lte The zone is L 9Jc 1t44(_ tate
Building Permit /Y)SZI (' Receipt /IDXiF Issued
Remarks
Sewage Permit Number Issued
Form 523 Bldg. Code
Carl Kappen &
Associates, Inc.
ii „ N. 25 Mullan, Suite 304, Spokane, WA 99206
Phone (509) 922-1690
PLOT PLAN
Requested Price a 950 4t
Lot Cost
76,e,0,11;
7
1 ;
ELEVATIONS:
Crown of Street "/De. 3
Finish Floor f/72 3 f '4734.
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Basic:
•FHA Case #
• t*
Mortgage Co--- Qi///c ,�obol el g /l Pa/ /y(s, ,6a / -Xs- /ii?f 9' .
, Power Col ,ea !Water Co A �j��t,
0
Sq. Ft. Legal
Job # 7 / Address:tr. (pa c`nai
Scale: % . 020
t r i#lurnber, v 1 Excavator/;dc,•?‘
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